Wanda K. Long
Nurse Practitioner - Acute Care
40891 Breezy Pass Rd
Palm Desert
, California 92211-7263
Wanda K. Long
Nurse Practitioner - Acute Care
40891 Breezy Pass Rd
Palm Desert
, California 92211-7263
(757) 714-0916
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About
Features
Specialties
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Wanda K. Long
- 40891 Breezy Pass Rd
- Palm Desert, CA
- Zip : 92211-7263
- Phone : (757) 714-0916
Second Address
- Wanda K. Long
- 40891 Breezy Pass Rd
- Palm Desert, CA
- Zip : 92211-7263
- Phone : (757) 714-0916
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Is Wanda K. Long a sole practitioner?
Is Wanda K. Long accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | 95013493 | CA |
National Provider Identifier
| NPI | 1003456609 |
|---|---|
| Provider Name | Wanda K. Long |
| First Address | Palm Desert, CA 92211-7263 |
| Second Address | Palm Desert, CA 92211-7263 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/01/2020 |
| Last Update Date | 10/01/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.