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MARCI MARIE STORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
5313 SR 64, BRADENTON, FL 34208
(833) 362-4853
(941) 277-9933
Mailing address
5313 SR 64, BRADENTON, FL 34208
(833) 362-4853
(941) 277-9933

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
72051
OK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11012705
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200089180A
OK
01
P00297410
RAILROAD MEDICARE
OK
Enumeration date
06/22/2006
Last updated
08/22/2023
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