person
Etta L Storm, NPINPEDIATRICS
Pediatric Nurse Practitioner in Orchard Park, New York
NPI 1487762258

Etta L Storm is a Pediatric Nurse Practitioner based in Orchard Park, NY and is specialized in Pediatrics. Etta L Storm practices in Orchard Park, NY and has the professional credentials of NPINPEDIATRICS. The NPI Number for Etta L Storm is 1487762258 and holds a License No. F380276-1 (New York).

The current practice location address for Etta L Storm is 3085 Southwestern Blvd, Orchard Park, NY and can be reached out via phone at 716-674-1292 and via fax at 716-677-4314. You can also correspond with Etta L Storm through the mailing address at 3085 SOUTHWESTERN BLVD, ORCHARD PARK, NY - 14127-1233 (mailing address contact number: 716-674-1292).

Location: 3085 Southwestern Blvd, Orchard Park, NY, 14127-1233
person
Provider Profile Details
NPI Number
1487762258
Provider Name
Etta L Storm
Credential
NPINPEDIATRICS
Provider Entity Type
Individual
Gender
Female
Address
3085 Southwestern Blvd, Orchard Park, NY, 14127-1233
Phone Number
716-674-1292
Fax Number
716-677-4314
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9511811 01 INDEPENDENT HEALTH
00026500201 01 UNIVERA HEALTHCARE
000560930001 01 BCBS OF WESTERN NEW YORK
institution
Provider Business Practice Location Address Details
Address
3085 Southwestern Blvd
City
State
Zip
14127-1233
Phone Number
716-674-1292
Fax Number
716-677-4314
person
Provider Business Mailing Address Details
Address
3085 Southwestern Blvd
City
State
Zip
14127-1233
Phone Number
716-674-1292
Fax Number
716-677-4314
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
F380276-1 (New York)
Definition
Definition to come...
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