Individual
ERIK N STORM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
11341 SUNSET HILLS RD, RESTON, VA 20190-5205
(703) 471-0919
(703) 742-9081
Mailing address
PO BOX 2757, RESTON, VA 20195-0757
(703) 471-0919
(703) 472-9081
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001222832
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024168837
VA
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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