NICOLE DIANE LONG


Address: 2990 Cortez Ave, Idaho Falls, ID 83404-7554
Phone: 2085350440

NICOLE DIANE LONG (NPI# 1891058939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891058939
Entity Type Individual
Full Name NICOLE DIANE LONG
Credential FNP-C
Practice Address 2990 Cortez Ave
Idaho Falls
ID 83404-7554
Practice Telephone 2085350440
Practice Fax Number 2085350550
Mailing Telephone 2085350440
Mailing Fax Number 2085350550
Enumeration Date 2012-06-22
Last Update Date 2012-06-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
NP-1171A ID Physician Assistants & Advanced Practice Nursing Providers

Other Providers NICOLE LONG

NPI Name Taxonomy Address Enumeration
1174634950 Nicole Long Nurse Practitioner 902 Carl Rd, Lafayette, CA 94549-4807 2006-08-31
1184100067 Nicole Long Nurse Practitioner 3725 Belfort Rd, Jacksonville, FL 32216-5813 2018-07-13
1679090302 Nicole Marie Long Nurse Practitioner 50 Irving St Nw, Washington, DC 20422-0001 2017-08-23
1336581511 Nicole Long Social Worker 150 West St, West Bridgewater, MA 02379-1448 2013-07-29
1851521660 Nicole C. Long Optometrist 320 Central City Plz, New Kensington, PA 15068-6441 2009-07-15
1962609289 Nicole Ann Long Obstetrics & Gynecology 277 White St Ne, Abingdon, VA 24210-2913 2007-06-29
1093834145 Nicole Ann Long Nurse Practitioner 9397 Crown Crest Blvd, Ste 320, Parker, CO 80138-8575 2007-03-28
1386733087 Nicole Marie Long Social Worker 2285 Benden Dr, Wooster, OH 44691-2568 2006-10-12
1750482683 Nicole L Long Chiropractor 4902 Tacoma Mall Blvd, Tacoma, WA 98409-7149 2006-09-25

Office Location

Street Address 2990 CORTEZ AVE
City IDAHO FALLS
State ID
Zip Code 83404-7554

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689610842 Rebecca H Adams Family Medicine 2990 Cortez Ave, Idaho Falls, ID 83404 2006-06-22
1841780731 Megan Donnelly Dietitian, Registered 2990 Cortez Ave, Idaho Falls, ID 83404 2018-05-16
1467953125 Heidi Gregersen Nurse Practitioner 2990 Cortez Ave, Idaho Falls, ID 83404-7554 2018-02-27
1346653862 Monarch Healthcare Pllc Obstetrics & Gynecology 2990 Cortez Ave, Idaho Falls, ID 83404-7554 2014-06-03
1437561016 Jacob Venesky Obstetrics & Gynecology 2990 Cortez Ave, Idaho Falls, ID 83404-7554 2014-05-29
1083841068 Christopher J Allphin Obstetrics & Gynecology 2990 Cortez Ave, Idaho Falls, ID 83404-7554 2009-06-17
1669543450 Serena Raquel Adams Physician Assistant 2990 Cortez Ave, Idaho Falls, ID 83404-7554 2006-11-13
1609957455 Margaret C Huggins Chartered Obstetrics & Gynecology 2990 Cortez Ave, Idaho Falls, ID 83404-7554 2006-10-18
1215040480 Margaret C Huggins Specialist 2990 Cortez Ave, Idaho Falls, ID 83404 2006-08-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437750809 Joshua M Murphy Dentist 1580 Elk Creek Dr., Idaho Falls, ID 83404 2020-11-03
1427618958 Eastern Idaho Endodontics Dentist 3335 S. Holmes Ave, Idaho Falls, ID 83404 2019-06-17
1942863600 Muhammad Arslan Khan Student in an Organized Health Care Education/Training Program 2860 Channing Way Suite 214, Idaho Falls, ID 83404 2019-04-18
1942771043 Physician's Choice Cardiology, Pllc Internal Medicine 3302 Valencia, Suite 201, Idaho Falls, ID 83404 2018-12-16
1609358761 Cardiac Cath Lab of Idaho Falls Internal Medicine 3311 Valencia Drive, Idaho Falls, ID 83404 2018-09-05
1083196380 Hannah Golden Occupational Therapist 1460 Elk Creek, Idaho Falls, ID 83404 2018-09-04
1316423049 Lindsay Sessions Speech-Language Pathologist 2210 Niagara St, Idaho Falls, ID 83404 2018-07-16
1720574023 Bmh, Inc. Anesthesiology 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 2018-07-10
1093237935 Jason Earl Bailey Contractor 3100 S Woodruff Ave., Idaho Falls, ID 83404 2017-07-12
1235682121 Mountain Falls Quick Care Clinic/Center 1995 E 17th St #1, Idaho Falls, ID 83404 2016-07-27
Find all providers in zip 83404

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841802790 Magno C. Santos Msn, Fnp-c Pllc Nurse Practitioner 2184 Channing Way # 283, Idaho Falls, ID 83404-8034 2020-08-21
1023626876 Sandy Palma Nurse Practitioner 2155 Rendezvous Rd, Idaho Falls, ID 83402-3885 2020-07-17
1508483173 Angela Kirsten Johnston Nurse Practitioner 2243 E 17th St, Idaho Falls, ID 83404-6519 2020-06-30
1922652171 Amanda Goodliffe Nurse Practitioner 3993 E 109 N, Idaho Falls, ID 83401-5436 2019-07-26
1730744947 Samantha De Bruyn Kops Nurse Practitioner 2065 E 17th St Ste C, Idaho Falls, ID 83404-8042 2019-05-02
1952866063 Tiffany Ann Williams Nurse Practitioner 1223 Cabin Cv, Idaho Falls, ID 83404-8298 2019-02-02
1881172963 Kboll Healthcare Nurse Practitioner 2305 Coronado St, Idaho Falls, ID 83404-7407 2018-08-01
1740771898 Elizabeth Ann Sharp-marsden Nurse Practitioner 2275 Channing Way, Idaho Falls, ID 83404-8012 2018-05-24
1346737608 Melissa Plaisted Nurse Practitioner 2877 N Woodbine Rd, Idaho Falls, ID 83401-1254 2018-04-21
1083067268 Eulalia Adriana Aljayoushi Nurse Practitioner 1995 E 17th St Ste 1, Idaho Falls, ID 83404-6493 2016-07-22
Find all providers in IDAHO FALLS

Competitor

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City IDAHO FALLS
Zip Code 83404

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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