Individual
BLAKE ERRAN LONGSTRETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5400 MARYLAND WAY STE 100, BRENTWOOD, TN 37027-1005
(615) 661-5698
Mailing address
3821 FAITHWAY DR, MURFREESBORO, TN 37128-5547
(615) 714-1620
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24818
TN
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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