Ms. Katherine Marie Longoria
PNP, RN | Nurse Practitioner
2680 W Centre Ave, Portage
Michigan, 49024-4828
269-324-2400
Ms. Katherine Marie Longoria is a Portage, Michigan based nurse practitioner who is specialized as Nurse Practitioner nurse. Active license number of Ms. Katherine Marie Longoria is 4704250766 for Pediatrics in Michigan. Her current practice location is 2680 W Centre Ave, Portage. Patients can reach her at 269-324-2400 or can fax her at 269-324-0450. Ms. Katherine Marie Longoria is PNP, RN with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1275887051.
Ms. Katherine Marie Longoria has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Ms. Katherine Marie Longoria speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Ms. Katherine Marie Longoria |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | PNP, RN |
| Practice Address: | 2680 W Centre Ave, Portage,
Michigan, 49024-4828 |
| Phone: | 269-324-2400 |
| Fax: | 269-324-0450 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1275887051 |
| NPI Enumeration Date: | 01 Nov, 2012 |
| NPI Last Update On: | 13 Nov, 2020 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Katherine Marie Longoria are as mentioned below.
| License Number | Specialization | State | Status | |
| 4704250766 | Pediatrics | Michigan | Primary | |
| 4704250766 | Registered Nurse | Michigan | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Katherine Marie Longoria such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1275887051 | Medicaid | Michigan | |
| 1801818752 | Other | Michigan | BCBSM - BMG |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ms. Katherine Marie Longoria
2680 W Centre Ave,
Portage, Michigan |
| Zip: | 49024-4828 |
| Phone Number: | 269-324-2400 |
| Fax Number: | 269-324-0450 |
Patients can reach Ms. Katherine Marie Longoria at
2680 W Centre Ave, Portage, Michigan or can
call to book an appointment on 269-324-2400.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.