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Individual

MISS RASHILDA AYANNA STORM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, AGPCNP-BC

Contact information

Practice address
857 W CHILDS AVE, GERIATRICS, MERCED, CA 95341-6862
(209) 385-5600
(209) 385-5674
Mailing address
737 W CHILDS AVE, MERCED, CA 95341-6805
(209) 384-6493

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN95091386
CA
363LA2200X
Adult Health Nurse Practitioner
F306806-1
NY
363LG0600X
Gerontology Nurse Practitioner
F340948-1
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
NP95004311
CA

Other

Enumeration date
05/14/2014
Last updated
08/23/2016
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