NOLA FAY STARK

BOISE, ID
NPI1063520328
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  NP56)
Enumeration Date2006-08-28
Last Update Date2007-07-08
Business Address
-- NOLA FAY STARK NP
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
Mailing Address
-- NOLA FAY STARK NP
4024 IVY DR
NAMPA, ID 83686-8852
Phone number: 208-466-5490
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