Kaitlyn Long

Individual provider Nurse Practitioner · NPI 1689052821

Kaitlyn Long is a Nurse Practitioner in Nathalie, Virginia. Qualified in 2014, 12 years ago. Practices with Mcv Associated Physicians, a 1,767-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying: 12
Licensed in: VA
In the registry since: 2015
Specialties on file: 2

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Practice location Address checks out

15210 L P Bailey Memorial Hwy
Nathalie, VA 24577-3304
Phone: (434) 349-3113
Fax: (434) 349-2172

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

184 Buffalo Rd, Clarksville, VA 23927 — (434) 774-6179
600 Gresham Dr Ste 8630, Norfolk, VA 23507-1904 — (757) 388-6115

Specialties & licences

Family Nurse Practitioner (primary)	Taxonomy 363LF0000X · Licence 0024172460 (VA)
Nurse Practitioner	Taxonomy 363L00000X · Licence 0024172460 (VA)

Record details

NPI number	1689052821
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	No
NPI enumerated	May 7, 2015
Last updated in NPPES	October 12, 2020
Certification date	October 12, 2020
Mailing address	15210 L P Bailey Memorial Hwy, Nathalie, VA 24577-3304

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	NURSE PRACTITIONER
Medical school	OTHER
Graduated	2014 (12 years in practice)
Group practice	McV Associated Physicians — 1767 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount
Practice locations	2 on file with Medicare