NICOLE D LONG

MONARCH HEALTHCARE PLLC

Dr NICOLE D LONG is a female medical professional, specializing in Nurse Practitioner. She graduated in 2012.

Contact

MONARCH HEALTHCARE PLLC

2990 CORTEZ AVE
IDAHO FALLS
ID
834047554

Tel: 2085350440

NICOLE D LONG Information

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
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
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
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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