| NPI | 1548090533 |
|---|---|
| Other Name | TREY STREETMAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: KY 3049622) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 1762536) |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2025-04-27 |