# MRS. LELA KRISTINE DARK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1710127261
- **Gender:** F
- **Credential:** CRNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 1-077179 | AL | — |
| 363L00000X | Nurse Practitioner | RN222649 | GA | Yes |

## Other

- **Enumeration date:** 02/24/2009
- **Last updated:** 09/07/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 510-70395 | BLUE CROSS BLUE SHIELD | AL |