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NPI Code Detail

MEDICARE: NICOLE JOY STORSETH MD

MEDICARE: NICOLE JOY STORSETH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianL5575TX

General Provider Information

NPI Number : 1215937842
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE JOY STORSETH MD
Provider Business Mailing Address
First Line : 4206 CALL FIELD RD
Second Line :
City : WICHITA FALLS
State : TX
Zip : 76308-2519
Country : US
Telephone Number : 940-397-5200
Fax Number : 940-367-5287
Provider Business Practice Location Address
First Line : 4206 CALL FIELD RD
Second Line :
City : WICHITA FALLS
State : TX
Zip : 76308-2519
Country : US
Telephone Number : 940-397-5200
Fax Number : 940-367-5287
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 07/08/2007

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Directions to “ NICOLE JOY STORSETH MD” Practice Location

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