ROBERTA STARK

BRYAN, OH
NPI1467822726
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: OH  APRN.CNP.13364)
Additional Taxonomies363LW0102X Nurse Practitioner, Women's Health
(Licence: OH  COA13364-NP)
Enumeration Date2015-09-30
Last Update Date2018-03-17
Business Address
ROBERTA STARK NP
442 W HIGH ST STE 3
BRYAN, OH 43506-1681
Phone number: 419-636-4517
Mailing Address
ROBERTA STARK NP
3702 NEW VISION DR BLDG B
FORT WAYNE, IN 46845-1703
Phone number: 260-266-6013