Individual
ASHLEY STORMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
2 EXECUTIVE BLVD STE 406, SUFFERN, NY 10901-8220
(845) 357-3366
(845) 987-5979
Mailing address
20 GRAND ST FL 3, WARWICK, NY 10990-1035
(845) 987-3906
(845) 987-5979
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00216200
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
864379
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05723340
—
NY
Enumeration date
09/16/2009
Last updated
02/03/2023
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