Longo, Stephanie
Longo, Stephanie is an individual health care provider with primary practice located at 200 Bowman Dr Ste E110 , Voorhees NJ 08043. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Wound Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Longo, Stephanie can be contacted via phone (856) 247-7260.Contact Information
Primary practice address
200 Bowman Dr Ste E110
Voorhees NJ 08043
Phone: (856) 247-7260
Fax: (856) 247-7261
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 26N011126000 | New Jersey |
Nursing Service Providers / Wound Care | 163WW0000X | 26NJ00069300 | New Jersey |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 26NJ00069300 | New Jersey |
Profile Details
NPI number | 1518080761 |
---|---|
LBN Legal business name | Longo, Stephanie |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 10th, 2007 |
Last updated | May 17th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1518080761 | NPPES |
New Jersey | MEDICAID | 0099139 |
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