Individual
BONNIE BISHOP STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925
(907) 729-3106
(907) 729-3170
Mailing address
4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925
(907) 729-3106
(907) 729-3170
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
23839
AK
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
809
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0809
—
AK
Enumeration date
08/17/2006
Last updated
01/08/2013
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