Individual
STACI ROARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, CA/CP SANE
Contact information
Practice address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
(806) 775-9700
Mailing address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
(806) 775-9700
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
1087531
TX
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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