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NATHAN E. STORTROEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
4916 OVERTON PLZ, FORT WORTH, TX 76109-4415
(888) 804-3000
(817) 334-0235
Mailing address
4916 OVERTON PLZ, FORT WORTH, TX 76109-4415
(888) 804-3000
(817) 334-0235

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
736169
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
188262301
TX
Enumeration date
10/05/2006
Last updated
10/12/2009
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