Individual
MS. MERYL STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
92 ALLEN ST, SUITE 3, RUTLAND, VT 05701-4562
(802) 773-4256
Mailing address
92 ALLEN ST, SUITE 3, RUTLAND, VT 05701-4562
(802) 773-4256
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101-0019043
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1613
—
VT
Enumeration date
06/28/2006
Last updated
04/30/2008
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