Provider Demographics
NPI:1184443574
Name:ENCE, STORMI (DEM)
Entity type:Individual
Prefix:MRS
First Name:STORMI
Middle Name:
Last Name:ENCE
Suffix:
Gender:F
Credentials:DEM
Other - Prefix:
Other - First Name:STORMI
Other - Middle Name:
Other - Last Name:STRATTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:96 S 400 W
Mailing Address - Street 2:
Mailing Address - City:LA VERKIN
Mailing Address - State:UT
Mailing Address - Zip Code:84745-5424
Mailing Address - Country:US
Mailing Address - Phone:435-705-3060
Mailing Address - Fax:
Practice Address - Street 1:96 S 400 W
Practice Address - Street 2:
Practice Address - City:LA VERKIN
Practice Address - State:UT
Practice Address - Zip Code:84745-5424
Practice Address - Country:US
Practice Address - Phone:435-705-3060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife