Healthcare Provider Details

I. General information

NPI: 1295225084
Provider Name (Legal Business Name): KERI STOREY CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2018
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

975 RYLAND ST STE 105
RENO NV
89502
US

IV. Provider business mailing address

1155 MILL ST # M14
RENO NV
89502-1576
US

V. Phone/Fax

Practice location:
  • Phone: 775-982-5640
  • Fax: 775-982-5641
Mailing address:
  • Phone: 759-825-2627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPRN002958
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number236209
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: