Provider Demographics
NPI:1992587109
Name:STORBECK, ASHLEY ELIZABETH
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ELIZABETH
Last Name:STORBECK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 2ND ST E
Mailing Address - Street 2:
Mailing Address - City:HUNTER
Mailing Address - State:ND
Mailing Address - Zip Code:58048-2801
Mailing Address - Country:US
Mailing Address - Phone:701-371-6858
Mailing Address - Fax:
Practice Address - Street 1:323 2ND ST E
Practice Address - Street 2:
Practice Address - City:HUNTER
Practice Address - State:ND
Practice Address - Zip Code:58048-2801
Practice Address - Country:US
Practice Address - Phone:701-371-6858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant