Provider Demographics
NPI:1063726594
Name:STOREY, MARGARET MARIE (CNP)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:MARIE
Last Name:STOREY
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 4TH ST
Mailing Address - Street 2:
Mailing Address - City:ALAMOSA
Mailing Address - State:CO
Mailing Address - Zip Code:81101-2673
Mailing Address - Country:US
Mailing Address - Phone:719-589-9639
Mailing Address - Fax:719-218-9770
Practice Address - Street 1:422 4TH ST
Practice Address - Street 2:
Practice Address - City:ALAMOSA
Practice Address - State:CO
Practice Address - Zip Code:81101-2673
Practice Address - Country:US
Practice Address - Phone:719-589-9639
Practice Address - Fax:719-218-9770
Is Sole Proprietor?:No
Enumeration Date:2010-07-26
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCNP-03053363LF0000X
COAPN.0992620-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily