Long, Karen Marie

Long, Karen Marie is an individual health care provider with primary practice located at 2295 N Austin Ave Ste Hlth , Georgetown TX 78626-4514. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Long, Karen Marie can be contacted via phone (877) 800-5722.

Contact Information

Primary practice address
2295 N Austin Ave Ste Hlth Georgetown TX 78626-4514
Phone: (877) 800-5722
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP119423 Texas

Profile Details

NPI number 1275592305
LBN Legal business name Long, Karen Marie
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2006
Last updated Mar 4th, 2024 - 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 1275592305 NPPES
Texas MEDICAID 282598605

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