Doctor Name: | MS. MICHAELA V COGAR-LONG |
NPI Number: | 1326218462 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 43046 |
Business Practice Address: | 411 N Hill Rd Sutton, WV - 266011147 |
Business Phone Number: | 3047657331 |
Business Fax Number: | 3047657976 |
Mailing Address: | 200 Jerry Burton Dr, SUTTON |
State: | WV |
Postal Code: | 266019768 |
Phone Number: | 3047657331 |
Fax Number: | 3047657976 |
NPI Enumeration Date: | 03/05/2008 |
NPI Last Update Date: | 03/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 43046 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |