Charisma, Whitney Storm

Charisma, Whitney Storm is an individual health care provider with primary practice located at 1120 Lexington Green Ln Ste A , Sanford FL 32771-1022. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Obstetric, Inpatient, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Charisma, Whitney Storm can be contacted via phone (407) 900-1394.

Contact Information

Primary practice address
1120 Lexington Green Ln Ste A Sanford FL 32771-1022
Phone: (407) 900-1394
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Obstetric, Inpatient 163WX0003X 9331148 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9331148 Florida

Profile Details

NPI number 1174972301
LBN Legal business name Charisma, Whitney Storm
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2016
Last updated Aug 24th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174972301 NPPES
Florida MEDICAID 103694100

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