Individual
MRS. CATHY STORRS NAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
165 NORTH 5TH STREET, FULTON, NY 13069
(315) 598-1329
Mailing address
684 CO RT 85, FULTON, NY 13069
(315) 564-5672
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2152051
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01860677
—
NY
Enumeration date
04/03/2007
Last updated
07/08/2007
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