Provider Demographics
NPI:1780553560
Name:LONG, CAROL OLSON (RN)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:OLSON
Last Name:LONG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:6013 DREWYS BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-9271
Mailing Address - Country:US
Mailing Address - Phone:480-204-0911
Mailing Address - Fax:
Practice Address - Street 1:6013 DREWYS BLUFF DR
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-9271
Practice Address - Country:US
Practice Address - Phone:480-204-0911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-31
Last Update Date:2025-10-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0001279454163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse