Individual
MAEGEN LYNN STORM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-5233
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-5233
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2054
MN
363LP0200X
Pediatric Nurse Practitioner
R180689-2
MN
Other
Enumeration date
08/03/2012
Last updated
08/10/2020
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