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Individual
NANCY N STARK
Active
Individual
NANCY N STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ANP, PMHNP, APNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
184455
MA
363L00000X
Nurse Practitioner
518409
CA
363LA2200X
Adult Health Nurse Practitioner
10258
CA
363LC1500X
Community Health Nurse Practitioner
10258
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10258
CA
363LP2300X
Primary Care Nurse Practitioner
10258
CA
Other
Enumeration date
08/31/2006
Last updated
12/19/2018
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