Search › Pennsylvania › 173C00000X
Brandi Long
NPI 1649111972 · on the registry since 2026 · sole proprietor
Practice
- Address
- 119 Gun Club Rd
Herndon, PA 17830 - Phone
- (570) 495-3691
Registry record
- Primary taxonomy
- 173C00000X
173C00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania