CAROL M STORK RN FNP NPI 1902802978

NPI Information

NPI: 1902802978
Provider Name: CAROL M STORK, RN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
2240 EASTRIDGE CENTER
EAU CLAIRE, WI
ZIP 54701
Phone: (715) 383-2900
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Carol M Stork, RN, FNP is a family nurse practitioner in Eau Claire, WI. Carol M Stork, RN, FNP NPI is 1902802978. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2240 EASTRIDGE CENTER
EAU CLAIRE, WI
ZIP 54701
Phone: (715) 383-2900
Fax: (715) 383-2910

The enumeration date for this NPI number is 6/24/2005 and was last updated on 11/4/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	2949-033	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	P31127	MEDICARE UPIN
2	PN109424	MEDICARE ID-TYPE UNSPECIFIED
3	239107	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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