Individual
DIANE MARIE STORTECKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
4870 BIXBY RIDGE DR E, GROVEPORT, OH 43125-1164
(614) 581-0474
Mailing address
4870 BIXBY RIDGE DR E, GROVEPORT, OH 43125-1164
(614) 581-0474
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
268881
MA
163W00000X
Registered Nurse
Primary
306779
OH
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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