Dr NICOLE D LONG is a female medical professional, specializing in Nurse Practitioner. She graduated in 2012.
MONARCH HEALTHCARE PLLC
2990 CORTEZ AVE
IDAHO FALLS
ID
834047554
Tel: 2085350440
Npi | 1891058939 |
Pac Id | 3476704727 |
Professional Enrollment Id | I20121113000774 |
Last Name | LONG |
First Name | NICOLE |
Middle Name | D |
Suffix | |
Gender | F |
Credential | |
Medical School Name | OTHER |
Graduation Year | 2012 |
Primary Specialty | NURSE PRACTITIONER |
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Organization Legal Name | MONARCH HEALTHCARE PLLC |
Group Practice Pac Id | 4981922309 |
Number Of Group Practice Members | 7 |
Line 1 Street Address | 2990 CORTEZ AVE |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | IDAHO FALLS |
State | ID |
Zip Code | 834047554 |
Phone Number | 2085350440 |
Hospital Affiliation Ccn 1 | 130065 |
Hospital Affiliation Lbn 1 | MOUNTAIN VIEW HOSPITAL |
Hospital Affiliation Ccn 2 | |
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Professional Accepts Medicare Assignment | Y |
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