Individual
RACHEL STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 265-8120
Mailing address
2117 21ST AVE S, BIRMINGHAM, AL 35223-1716
(334) 728-1415
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
119466
AL
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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