Provider Demographics
NPI:1043685530
Name:STORTS, ALICIA MARIE (FNP)
Entity type:Individual
Prefix:MS
First Name:ALICIA
Middle Name:MARIE
Last Name:STORTS
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Gender:F
Credentials:FNP
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Mailing Address - Street 1:PO BOX 60352
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63160-0352
Mailing Address - Country:US
Mailing Address - Phone:314-514-3500
Mailing Address - Fax:314-514-3555
Practice Address - Street 1:1044 N MASON RD
Practice Address - Street 2:DEPT ORTHOPAEDIC SURGERY, STE 110/210
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6431
Practice Address - Country:US
Practice Address - Phone:314-514-3500
Practice Address - Fax:314-514-3555
Is Sole Proprietor?:No
Enumeration Date:2015-12-09
Last Update Date:2024-04-25
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Provider Licenses
StateLicense IDTaxonomies
MO2015040104363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily