Individual provider · Type 1 NPI
Vicki Lou Stork
Medical-Surgical Registered Nurse · Carroll, IA
NPI number
1336325802
Active
Practice location
311 S Clark St
Carroll, IA 51401-3038
Mailing address
131 W 3rd St.
Glidden, IA 51443
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical-Surgical Registered Nurse Primary | 163WM0705X | 079618 (IA) |
Medical-Surgical Registered Nurse: Definition to come...
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About NPI 1336325802
Vicki Lou Stork's National Provider Identifier is 1336325802, issued on Jan 15, 2008. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Carroll, IA. The record was last updated on Jan 15, 2008.