P Praxis·MD
● Active Type 1 · Individual

Nicole Diane Long, FNP-C

Nurse Practitioner·Idaho Falls, ID· NPI 1891058939 · Enumerated 2012 · 13 years on NPI
Long is 1 of 105 nurse practitioner providers in Idaho Falls and 1 of 1280 in Idaho.
NPI age
13 years
Enumerated 2012-06-22
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-06-22
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1280 active nurse practitioner providers in Idaho.

NPI age
13 years
↑ 6 yr above median (7 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-06Enumerated in NPPES
2012 2026

Where they practice

Practice location
2990 Cortez Ave
Idaho Falls, ID 834047554
📞 2085350440fax 2085350550
Mailing address
2990 Cortez Ave
Idaho Falls, ID 834047554
📞 2085350440fax 2085350550

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #NP-1171A taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.

Recently enumerated nearby: 3 new nurse practitioner providers have been added in Idaho Falls in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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