| Laila Nicole Long, CRNP | |
|
51 Business Campus Way Ste 200, Duncannon, PA 17020-9596 | |
| (717) 834-3108 | |
| (717) 834-6911 |
| Full Name | Laila Nicole Long |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 51 Business Campus Way Ste 200, Duncannon, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437877768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | SP026153 (Pennsylvania) | Primary |
| Entity Name | Penn State Health Community Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279 |
| Mailing Address | Practice Location Address |
|---|---|
| Laila Nicole Long, CRNP 500 University Dr, Mc Ca410, Hershey, PA 17033-2360 Ph: (717) 531-1726 | Laila Nicole Long, CRNP 51 Business Campus Way Ste 200, Duncannon, PA 17020-9596 Ph: (717) 834-3108 |
Leisa E Mcalicher, R.N.,M.S.N.,C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 Lower Bailey Rd, Duncannon, PA 17020 Phone: 717-834-4281 | |
Lindsay Rinfrette, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 51 Business Campus Way Ste 200, Duncannon, PA 17020 Phone: 717-834-3108 Fax: 717-834-6911 |