Individual
SUSAN M STORCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
110 COMMERCE DR, SHELTON, CT 06484-6244
(203) 929-7331
(203) 925-0330
Mailing address
67 MAPLE AVE, DERBY, CT 06418-1328
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
004505
CT
Other
Enumeration date
03/10/2011
Last updated
11/02/2023
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