MISS RASHILDA AYANNA STORM MSN, AGPCNP-BC
NPI 1033520820
Nurse Practitioner - Gerontology in Merced, CA
Active since May 14, 2014
857 W CHILDS AVE, GERIATRICS, MERCED, CA 95341(209) 385-5600(209) 385-5674 Get Directions Write a Review
About Miss Rashilda Ayanna Storm Msn, Agpcnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS RASHILDA AYANNA STORM MSN, AGPCNP-BC (NPI 1033520820) is an individual gerontology provider in Merced, California, licensed in California (NP95004311) and active in the NPI registry since May 2014.
NPPES Registry Identity
NPI1033520820
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMISS RASHILDA AYANNA STORMCredential: MSN, AGPCNP-BC
Location Address857 W CHILDS AVE, GERIATRICSMerced, CA 95341-6862
Mailing Address737 W Childs AveMerced, CA 95341-6805 · (209) 384-6493
Phone(209) 385-5600
Fax(209) 385-5674
Sole ProprietorNo
Enumeration DateMay 14, 2014
Last NPPES UpdateAugust 23, 2016
✔ NPI 1033520820 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 3
★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Licenses✔ Licensed in CA · NP95004311✔ Licensed in NY · F340948-1
Also ListedRegistered NurseTaxonomy 163W00000X · License RN95091386 (CA)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License F306806-1 (NY)
857 W CHILDS AVE, Merced, CA 95341
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033520820, enumerated as an "individual" on May 14, 2014.
The provider is located at 857 W CHILDS AVE GERIATRICS MERCED, CA 95341 and the phone number is (209) 385-5600.
Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.