MRS. ELIZABETH RAE LONG


Address: 1050 West 10th Street, Phelps County Regional Medical Center, Rolla, MO 65401
Phone: 5738424000

MRS. ELIZABETH RAE LONG (NPI# 1851768543) 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) 1851768543
Entity Type Individual
Full Name MRS. ELIZABETH RAE LONG
Credential P-CNS
Practice Address 1050 West 10th Street
Phelps County Regional Medical Center
Rolla
MO 65401
Mailing Address 14155 Columbia Rd
Dixon
MO 65459-7153
Practice Telephone 5738424000
Mailing Telephone 5126602798
Enumeration Date 2015-08-28
Last Update Date 2015-08-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SP0200X Clinical Nurse Specialist
Specialization: Pediatrics
2014029932 MO Physician Assistants & Advanced Practice Nursing Providers

Other Providers ELIZABETH LONG

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1821501123 Elizabeth Kay Long Nurse Practitioner 27258 Monique Ridge Ln, Spring, TX 77386-4044 2017-11-08
1134653637 Elizabeth Long Speech-Language Pathologist 307 Upton St, Winston Salem, NC 27103-1735 2017-04-12
1174871784 Elizabeth Long Counselor 3821 Little York Rd., Dayton, OH 45414 2012-08-29
1336409770 Elizabeth Perry Long Lactation Consultant, Non-RN 4004 Keble Dr, Charlotte, NC 28269-1405 2012-05-19
1467764134 Elizabeth Noami Long Counselor 1003 E Main St Ste 104, Medford, OR 97504 2010-07-09
1346496270 Elizabeth Long Specialist 342 Mulberry Ct, B1, Bartlett, IL 60103-7961 2008-08-12
1750353082 Elizabeth Mckinley Long Nurse Practitioner Troy University, Hamil Hall Student Health Center, Troy, AL 36082-0001 2006-02-02
1225636236 Elizabeth C Long Counselor 100 Arapahoe Ave Ste 9, Boulder, CO 80302-5854 2020-10-12
1427669191 Elizabeth Long Pharmacist 4995 E Us Route 36, Decatur, IL 62521-9701 2020-08-14
1093350670 Elizabeth Mary Long Registered Nurse 3400 Spruce St, Rhoads 5, Philadelphia, PA 19104 2019-11-07

Office Location

Street Address 1050 WEST 10TH STREET
PHELPS COUNTY REGIONAL MEDICAL CENTER
City ROLLA
State MO
Zip Code 65401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154587038 Nurelign G. Abebe Internal Medicine 1050 West 10th Street, Rolla, MO 65401 2008-07-31
1124388947 Hadi Bhurgri Internal Medicine 1050 West 10th Street, Pcrmc, Suite 580, Rolla, MO 65401 2012-05-26
1013295419 Joel Amos Leon Becerril Urology 1050 West 10th Street, Suite 150, Rolla, MO 65401 2011-08-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639645591 Samantha Jo Mitchell Pharmacist 1375 E 10th St Suite B, Rolla, MO 65401 2018-10-18
1427567726 Gerry Wade Funkhouser Jr. Counselor 103 W 10th St, Rolla, MO 65401 2017-09-29
1366967960 Shana Hintz Wisniewski Social Worker 1000 W. 10th St., Rolla, MO 65401 2017-08-04
1174066559 Tabitha Hundt Counselor 1011 Cypress Dr, Rolla, MO 65401 2016-12-02
1841742855 Alpha Assisted Living LLC Assisted Living Facility 13450 Cr 7040, 803 E 12th St, Rolla, MO 65401 2016-10-26
1275916884 Elizabeth Zersen Occupational Therapist 2053 Vienna Rd, Rolla, MO 65401 2015-06-30
1386047025 Becky L Witham Nurse Practitioner 1060 W 10th Street, Rolla, MO 65401 2014-10-08
1114326121 Summer Adey Licensed Practical Nurse 13750 State Route F, Rolla, MO 65401 2014-08-14
1518303296 Leaetta Mildred Gardner Nursing Facility/Intermediate Care Facility 13450 County Road 7040, Rolla, MO 65401 2013-05-21
1316282064 Susan Peitz Gruener Occupational Therapy Assistant 1800 White Column Road, Rolla, MO 65401 2012-12-06
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Taxonomy Information

Taxonomy Code 364SP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417514951 Michelle Lee Weltman Clinical Nurse Specialist 4408 Terrace St, Kansas City, MO 64111-4223 2019-05-21
1356496442 Ruth A Kiekhaefer Clinical Nurse Specialist 902 N Riverside Rd Ste 100, Saint Joseph, MO 64507-2566 2007-01-25
1528413119 Susan Mason Clinical Nurse Specialist 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2016-05-02
1689037772 Tiffany Mullen Clinical Nurse Specialist 2401 Gillham Rd, Kansas City, MO 64108-4619 2016-04-05
1306255724 Clint Dziadosz Clinical Nurse Specialist 2401 Gillham Rd, Kansas City, MO 64108-4619 2014-08-11
1548602444 Sarah M. Lagergren Clinical Nurse Specialist 2401 Gillham Rd, Kansas City, MO 64108-4619 2013-07-22
1881957504 Judith I Bildner Clinical Nurse Specialist 404 N Keene St, Columbia, MO 65201-6626 2012-06-18
1457628224 Grace Spinner Clinical Nurse Specialist 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2011-11-22
1982912119 Andrea R Keune Clinical Nurse Specialist 851 E 5th St, Suite 300, Washington, MO 63090-3135 2010-09-22
1306076336 Sarah E Dedrick Clinical Nurse Specialist 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 2009-07-24
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Competitor

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City ROLLA
Zip Code 65401

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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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