Angela Desiree Long, FNP-BC, PMHNP-BC
NPI #1720458706 in Middle River, Maryland
Provider Information
- NPI Number
- 1720458706
- Entity Type
- Individual
- Name
- Angela Desiree Long, FNP-BC, PMHNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- FNP-BC, PMHNP-BC
- Enumeration Date
- Oct 2, 2015
- Last Updated
- Jun 28, 2022
Practice Location
- Address
- 11560 CROSSROADS CIR STE 102
- City
- Middle River
- State
- Maryland
- ZIP Code
- 21220-2885
- Phone
- (410) 508-0722
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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