Individual
MRS. NICOLE RENEA STARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.341978
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.036366
OH
363LA2200X
Adult Health Nurse Practitioner
APRN.CNP.025255
OH
Other
Enumeration date
08/25/2018
Last updated
07/27/2021
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