Wanda M. Long , LPN
Licensed Practical Nurse • Lititz, PA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Wanda Long has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Wanda Long, LPN was a registered Licensed Practical Nurse practicing in Lititz, PA. Throughout an active medical career spanning 10 years, Wanda Long provided care at the practice location at 2111 MAIN ST until profile deactivation on 2017-04-18.
Practice Location & Contact Primary Location
2111 Main St
Apt. 1
Lititz, PA 175433028
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Lititz, PA
Practicing in Lititz, PA (4134 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 18, 2017
NPI status registered as active in NPPES database
Registered at 2111 MAIN ST, APT. 1, LITITZ, PA 175433028 (Tel: 7176270040)
Registered at 2111 MAIN ST, APT. 1, LITITZ, PA 175433028 (Tel: 7176270040)
Recorded as WANDA LONG, LPN
Licensed Practical Nurse (License #PN093752L in PA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2111 Main St, Apt. 1
Lititz, PA 175433028
Phone: 7176270040
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