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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 1518080761 NPPES
New Jersey MEDICAID 0099139

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