# MRS. MEGHAN RAE STORK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1023124104
- **Gender:** F
- **Credential:** CNM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | 070704 | OK | — |
| 176B00000X | Midwife | 659312 | TX | — |
| 367A00000X | Advanced Practice Midwife | 659312 | TX | Yes |
| 367A00000X | Advanced Practice Midwife | R0070704 | OK | — |

## Other

- **Enumeration date:** 08/22/2006
- **Last updated:** 04/16/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 080462703 | — | TX |