| NPI | 1992185847 |
|---|---|
| Former Name | NANCY ANN STARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 169575) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 811092) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 202100565NP-PP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MT 171496) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61128167) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95001729) | |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2021-11-23 |