Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | F306806-1 | NY |
N | 363LG0600X | Nurse Practitioner - Gerontology | F340948-1 | NY |
Y | 363LG0600X | Nurse Practitioner - Gerontology | NP95004311 | CA |
NPI | 1033520820 |
---|---|
Provider Name | Miss Rashilda Ayanna Storm |
First Address | Merced, CA 95341-6805 |
Second Address | Merced, CA 95341-6862 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2014 |
Last Update Date | 23/08/2016 |