Individual
MRS. NICOLE RENEA STARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
974 N 21ST ST, NEWARK, OH 43055-2990
(740) 899-4155
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1457
(513) 834-7063
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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