Individual
ALICIA F STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, APN
Contact information
Practice address
2550 S PARKER RD, AURORA, CO 80014-1622
(303) 338-4545
Mailing address
2550 S PARKER RD, AURORA, CO 80014-1622
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
190509
CO
363L00000X
Nurse Practitioner
Primary
APN.0991580-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026530
KAISER COMMERCIAL NUMBER
CO
05
—
22184848
—
CO
Enumeration date
07/07/2009
Last updated
01/21/2016
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