Individual
CARMEN STORM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
245 W ELMWOOD DR STE 206, DAYTON, OH 45459-4249
(937) 654-3841
Mailing address
245 W ELMWOOD DR STE 206, DAYTON, OH 45459-4249
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.505437
OH
164W00000X
Licensed Practical Nurse
LPN.149365.MEDS-IV
OH
Other
Enumeration date
06/04/2019
Last updated
11/15/2023
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