Individual
MR. MICHAEL STORMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
415 6TH ST, LEWISTON, ID 83501-2431
(208) 799-5400
Mailing address
1303 HEMLOCK AVE, LEWISTON, ID 83501-5727
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-557A
ID
367H00000X
Anesthesiologist Assistant
RNA-557
ID
Other
Enumeration date
03/09/2007
Last updated
08/23/2019
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