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Individual

ANNETTE N STORM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA, MNA

Contact information

Practice address
7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615-4569
(864) 522-3700
(864) 522-3705
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
17893
SC
367500000X
Certified Registered Nurse Anesthetist
89907
SC

Other

Enumeration date
12/31/2011
Last updated
01/28/2022
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