Individual
BONNIE LISA STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
101 S MAIN ST, ROGERSVILLE, MO 65742-9357
(417) 753-9404
(417) 753-9137
Mailing address
101 S MAIN ST, ROGERSVILLE, MO 65742-9357
(417) 753-9404
(417) 753-9137
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2012003616
MO
Other
Enumeration date
02/08/2012
Last updated
10/16/2023
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