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Individual

MRS. ERICA STORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2005 STATE ST, SUITE A, WASHINGTON, IN 47501-8558
(812) 254-4650
(812) 254-1531
Mailing address
2005 STATE ST, SUITE A, WASHINGTON, IN 47501-8558
(812) 254-4650
(812) 254-1531

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28182353A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000917113
ANTHEM
IN
01
000001039843
ANTHEM
IN
05
201199270
IN
Enumeration date
10/24/2013
Last updated
03/06/2018
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