Individual
GLORIA A STORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4357 N 83RD ST, 4357 N. 83RD ST, MILWAUKEE, WI 53222-1809
(414) 535-9876
(414) 535-9876
Mailing address
4357 N 83RD ST, 4357 N. 83RD ST, MILWAUKEE, WI 53222-1809
(414) 535-9876
(414) 535-9876
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
124297-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35047600
—
WI
Enumeration date
05/22/2008
Last updated
05/22/2008
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