Individual
AMANDA STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 AUDUBON DR STE 600, MAUMELLE, AR 72113-5506
(501) 803-9481
Mailing address
3423 N MAGNOLIA ST, NORTH LITTLE ROCK, AR 72116-8705
(985) 640-4610
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005801
AR
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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