| Doctor Name: | DR. MOIRA L LONG |
| NPI Number: | 1043566755 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DNP, MSN, FNP-C |
| License Number: | RN229242 |
| Business Practice Address: | 46 North St Cape Cod Hospital Pain Center Hyannis, MA - 026013845 |
| Business Phone Number: | 5088625170 |
| Business Fax Number: | 5088627984 |
| Mailing Address: | 46 North St, Cape Cod Hospital Pain Center HYANNIS |
| State: | MA |
| Postal Code: | 026013845 |
| Phone Number: | 5088625170 |
| Fax Number: | 5088627984 |
| NPI Enumeration Date: | 07/31/2012 |
| NPI Last Update Date: | 10/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN229242 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |