Debra Sue Long, RN

Individual provider Active NPI Home Health Registered Nurse · Cedar, MI

NPI 1477089886 · NPPES record last updated May 4, 2017

Key facts

NPI
1477089886
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Registered Nurse 163WH0200X
License
4704217360 (MI)
Practice address
13194 S Cedar Rd
Cedar, MI 49621-9581
Phone
(231) 835-0693
NPI assigned
May 4, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704217360MIMDHome Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 4704217360 MI Yes

Addresses

Primary practice location

13194 S Cedar Rd
Cedar, MI 49621-9581

Mailing address

812 Calvin Dr
Traverse City, MI 49686-3520
Phone (231) 421-1410

Other names

  • Debra Sue Ness Former name

Other providers in Cedar, MI

All providers in Cedar, MI · Home Health Registered Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.