| Doctor Name: | MS. NANNETTE KAILEE STORR |
| NPI Number: | 1023169562 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, MSN |
| License Number: | CNS 2124 |
| Business Practice Address: | 19000 Homestead Rd Memory Clinic - East Lobby Cupertino, CA - 950140712 |
| Business Phone Number: | 4083664379 |
| Business Fax Number: | 4083664388 |
| Mailing Address: | 19000 Homestead Rd, Memory Clinic CUPERTINO |
| State: | CA |
| Postal Code: | 950140712 |
| Phone Number: | 4083664379 |
| Fax Number: | 4083664388 |
| NPI Enumeration Date: | 01/12/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SG0600X |
| License Number: | CNS 2124 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |