Doctor Name: | NITA J. STORMANN |
NPI Number: | 1689652174 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 331660 |
Business Practice Address: | 23 Central St Moravia, NY - 131183427 |
Business Phone Number: | 3154979066 |
Business Fax Number: | 3154974156 |
Mailing Address: | 17 Main St, Suite 302 CORTLAND |
State: | NY |
Postal Code: | 130456606 |
Phone Number: | 6077533797 |
Fax Number: | 6077536677 |
NPI Enumeration Date: | 01/04/2006 |
NPI Last Update Date: | 11/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 331660 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |