Individual provider · Type 1 NPI
Stephanie Yvette Store, FNP
Family Nurse Practitioner · Rosedale, NY
NPI number
1700224367
Active
Practice location
245-11 134 Ave
Rosedale, NY 11422
Mailing address
24511 134th Ave
Rosedale, NY 11422-1426
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F336569-1 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1700224367
Stephanie Yvette Store, FNP's National Provider Identifier is 1700224367, issued on Jun 5, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rosedale, NY. The record was last updated on Jun 5, 2013.