Longfellow, Amy
Longfellow, Amy is an sole proprietor health care provider with primary practice located at 1333 Paseo Del Pueblo Sur , Taos NM 87571-5972. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Family Medicine. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Longfellow, Amy can be contacted via phone (575) 224-6320.Contact Information
Primary practice address
1333 Paseo Del Pueblo Sur
Taos NM 87571-5972
Phone: (575) 224-6320
Fax: (575) 224-6320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | NMPA2019-0101 | New Mexico |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | PA2019-0101 | New Mexico |
Profile Details
| NPI number | 1023652633 |
|---|---|
| LBN Legal business name | Longfellow, Amy |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 6th, 2019 |
| Last updated | Oct 2nd, 2026 - about last week |
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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