Individual provider · Type 1 NPI
Derek Storck, FNP-BC
Primary Care Nurse Practitioner · Sterling Heights, MI
NPI number
1396282448
Active
Practice location
42348 Malbeck Dr
Sterling Heights, MI 48314-3043
Mailing address
929 Stacey Burk Dr
Flora, IL 62839-3241
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704322025 (MI) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 209016175 (IL) |
Primary Care Nurse Practitioner: Definition to come...
Other primary care nurse practitioner providers in Sterling Heights
About NPI 1396282448
Derek Storck, FNP-BC's National Provider Identifier is 1396282448, issued on Jan 27, 2017. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Sterling Heights, MI. The record was last updated on Nov 27, 2019.