Individual
ERIN L STOREYGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP, FNP-BC, RN-BC
Contact information
Practice address
146 E GENEVA SQ, LAKE GENEVA, WI 53147-9694
(262) 249-4660
(262) 249-7128
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(262) 249-4660
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10968
WI
363LF0000X
Family Nurse Practitioner
10968
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100177489
—
WI
Enumeration date
01/27/2021
Last updated
02/02/2024
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