Long, Wendy

Long, Wendy is an individual health care provider with primary practice located at 12502 Usf Pine Dr , Tampa FL 33612-9411. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Long, Wendy can be contacted via phone (813) 975-7117.

Contact Information

Primary practice address
12502 Usf Pine Dr Tampa FL 33612-9411
Phone: (813) 975-7117
Fax: (813) 975-7129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP2625212 Florida

Profile Details

NPI number 1598725830
LBN Legal business name Long, Wendy
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Aug 6th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598725830 NPPES
Florida MEDICAID 303022900

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