Individual
MS. BEVERLY WELLS STORCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
2577 W. 5TH STREET, GREENVILLE, NC 27834
(252) 830-3426
Mailing address
204 LANCELOT DR, GREENVILLE, NC 27858-8643
(252) 756-2634
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
900373
NC
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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