Long, Wanda K.

Long, Wanda K. is an individual health care provider with primary practice located at 40891 Breezy Pass Rd , Palm Desert CA 92211-7263. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Long, Wanda K. can be contacted via phone (757) 714-0916.

Contact Information

Primary practice address
40891 Breezy Pass Rd Palm Desert CA 92211-7263
Phone: (757) 714-0916
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 95013493 California

Profile Details

NPI number 1003456609
LBN Legal business name Long, Wanda K.
Credentials ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2020
Last updated Jan 10th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers