Long, Molly Catherine

Long, Molly Catherine is an individual health care provider with primary practice located at 3512 Stellhorn Rd , Fort Wayne IN 46815-4631. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Long, Molly Catherine can be contacted via phone (260) 483-9081.

Contact Information

Primary practice address
3512 Stellhorn Rd Fort Wayne IN 46815-4631
Phone: (260) 483-9081
Fax: (260) 483-9196
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28192221A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71005386A Indiana

Profile Details

NPI number 1164815379
LBN Legal business name Long, Molly Catherine
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2015
Last updated Dec 6th, 2018 - about 8 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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