Individual
MAUREEN LONGSTREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1450 BELLE AVE STE 300, LAKEWOOD, OH 44107-4202
(216) 529-8683
(216) 529-7048
Mailing address
1450 BELLE AVE, SUITE 300, LAKEWOOD, OH 44107-4202
(216) 227-2500
(216) 227-2567
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN260466
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000508074
ANTHEM BCBS
OH
05
—
2727848
—
OH
Enumeration date
04/04/2007
Last updated
09/03/2008
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