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Individual

AMY J LONGSTREET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-2783
(216) 444-2200
Mailing address
671 LAKESIDE DR, AVON LAKE, OH 44012-2783
(440) 309-8986

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.021783
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP.021783
OH

Other

Enumeration date
09/27/2017
Last updated
06/06/2022
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