Individual
KRISTI R STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10240 PARK MEADOWS DR, LONE TREE, CO 80124-5425
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
112838
CO
363LF0000X
Family Nurse Practitioner
Primary
991440
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014495
KAISER-COMMERCIAL NUMBER
—
05
—
71437860
—
CO
Enumeration date
02/27/2007
Last updated
08/29/2023
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