Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 4301085174 | MI |
Y | 2081P2900X | Pain Medicine | 17455 | NV |
N | 2081P2900X | Pain Medicine | 4301085174 | MI |
NPI | 1285731588 |
---|---|
Provider Name | Dr. Seneca Ann Storm |
First Address | Reno, NV 89502-1576 |
Second Address | Reno, NV 89521-3854 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 04/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4751436 | (05) | MI |
I35121 | (02) | MI |