Long, Madeline Victoria
Long, Madeline Victoria is an individual health care provider with primary practice located at 3001 Broadmoor Blvd Ne , Rio Rancho NM 87144-2100. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Long, Madeline Victoria can be contacted via phone (505) 994-7000.Contact Information
Primary practice address
3001 Broadmoor Blvd Ne
Rio Rancho NM 87144-2100
Phone: (505) 994-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA2018-0067 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1225518277 |
|---|---|
| LBN Legal business name | Long, Madeline Victoria |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2018 |
| Last updated | Sep 11th, 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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