Individual
NANCY SUSAN STORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2140 WARRENSVILLE RD, MONTOURSVILLE, PA 17754-9621
(570) 433-3161
(570) 433-2611
Mailing address
2140 WARRENSVILLE RD, MONTOURSVILLE, PA 17754-9621
(570) 433-3161
(570) 433-2611
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD022305E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0782953
—
PA
Enumeration date
07/26/2005
Last updated
07/13/2007
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