Individual
MARTIN K STREETMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
110 29TH AVE N, NASHVILLE, TN 37203-1401
(615) 327-4304
Mailing address
110 29TH AVE N, NASHVILLE, TN 37203-1448
(615) 327-4304
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
49685
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3107883
BCBS
TN
Enumeration date
01/11/2006
Last updated
07/28/2011
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