Laura Long, CRNP
Nurse Practitioner in Bethlehem, PA. Individual provider (NPI-1).
NPI number1104584036
StatusActive
Last updated in NPPESDec 8, 2021
Details
- NPI
- 1104584036
- Entity type
- Individual (NPI-1)
- Name
- Laura Long
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 8, 2021
- Certification date
- Dec 8, 2021
- Last updated
- Dec 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | SP024763 | PA | Yes |
Practice location
257 Brodhead RdBethlehem, PA 18017-8938
Phone 484-822-5700
Mailing address
801 Ostrum StBethlehem, PA 18015-1000
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