Crystal Ann Storck
Nurse Practitioner, Family in Nashville, IL. Individual provider (NPI-1).
NPI number1164088175
StatusActive
Last updated in NPPESMay 15, 2019
Details
- NPI
- 1164088175
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Crystal Ann Storck
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 15, 2019
- Last updated
- May 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209019349 | IL | Yes |
Practice location
705 S Grand StNashville, IL 62263-1534
Phone 618-327-8236 · Fax 618-327-2218
Mailing address
705 S Grand StNashville, IL 62263-1534
Phone 618-327-8236 · Fax 618-327-2218
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