Individual
NANCY L STOREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-FNP
Contact information
Practice address
910 REALTOR AVE, TEXARKANA, AR 71854-1020
(870) 779-2749
(870) 779-2740
Mailing address
910 REALTOR AVE, TEXARKANA, AR 71854-1020
(870) 779-2749
(870) 779-2740
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
564395
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173821301
—
TX
05
—
173821302
—
TX
Enumeration date
12/22/2005
Last updated
05/11/2012
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