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ETTA L STORM NP IN PEDIATRICS
NPI 1487762258
Nurse Practitioner - Pediatrics in Orchard Park, NY

Active since August 29, 2006
3085 SOUTHWESTERN BLVD, SUITE 104, ORCHARD PARK, NY 14127(716) 674-1292(716) 677-4314 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Etta L Storm Np In Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETTA L STORM NP IN PEDIATRICS (NPI 1487762258) is an individual pediatrics provider in Orchard Park, New York, licensed in New York (F380276-1) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1487762258
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameETTA L STORMCredential: NP IN PEDIATRICS
Location Address3085 SOUTHWESTERN BLVD, SUITE 104Orchard Park, NY 14127-1233
Mailing Address3085 Southwestern Blvd, Suite 104Orchard Park, NY 14127-1233 · (716) 674-1292 · Fax (716) 677-4314
Phone(716) 674-1292
Fax(716) 677-4314
Sole ProprietorNo
Enumeration DateAugust 29, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1487762258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · F380276-1
3085 SOUTHWESTERN BLVD, Orchard Park, NY 14127
Open in Google Maps ↗

Other Identifiers 3

Other000560930001Bcbs Of Western New York
Other00026500201Univera Healthcare
Other9511811Independent Health

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN J RIBES DPM
Podiatrist
3085 SOUTHWESTERN BLVD, STE 102
ORCHARD PARK, NY 14127
Erie County (716) 675-5252
DONALD F STORM MD
Pediatrics
3085 SOUTHWESTERN BLVD, STE 104
ORCHARD PARK, NY 14127
Erie County (716) 674-1292
VICTORIA CHRISTINA HENRY PA
Physician Assistant
3085 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
Erie County (716) 677-2575
DR. JOSHUA JEREMIAH LYNCH DO, EMT-P
Emergency Medicine
3085 SOUTHWESTERN BLVD, SUITE 204
ORCHARD PARK, NY 14127
Erie County (716) 677-2575
DR. JOHN JAMES MCNAMARA DO
Emergency Medicine
3085 SOUTHWESTERN BLVD, SUITE 204
ORCHARD PARK, NY 14127
Erie County (716) 677-2575
DR. NICHOLAS TIBERIA D.P.M.
Podiatrist
3085 SOUTHWESTERN BLVD, STE 203
ORCHARD PARK, NY 14127
Erie County (716) 674-0375
MARK TUROLDO PA
Physician Assistant
3085 SOUTHWESTERN BLVD, SUITE 204
ORCHARD PARK, NY 14127
Erie County (716) 677-2575

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Etta Storm's NPI number?

The NPI number for Etta Storm is 1487762258. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Etta Storm located?

Etta Storm practices at 3085 Southwestern Blvd Suite 104, Orchard Park, NY 14127. The listed phone number is (716) 674-1292.

What is Etta Storm's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Etta Storm was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.