| Doctor Name: | TANYA LONG |
| NPI Number: | 1639310808 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 096495 |
| Business Practice Address: | 1 Riverside Cir Hayesville, NC - 289047946 |
| Business Phone Number: | 8283898052 |
| Business Fax Number: | 8283898533 |
| Mailing Address: | 870 Hot House Rd, HAYESVILLE |
| State: | NC |
| Postal Code: | 289045131 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/17/2009 |
| NPI Last Update Date: | 03/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WD0400X |
| License Number: | 096495 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Diabetes Educator |
| Taxonomy Definition: | |