Individual
CARMEN STOREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
15364 AVENIDA ANILLO, MORENO VALLEY, CA 92555-4108
(951) 388-4428
Mailing address
15364 AVENIDA ANILLO, MORENO VALLEY, CA 92555-4108
(951) 388-4428
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
772466
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
95036315
CA
363LG0600X
Gerontology Nurse Practitioner
95036315
CA
Other
Enumeration date
10/30/2008
Last updated
07/24/2025
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