Individual
MRS. BRIANNE MARY STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CLC
Contact information
Practice address
414 LOVE BIRD LN, MURPHY, TX 75094-3263
(715) 379-9413
Mailing address
414 LOVE BIRD LN, MURPHY, TX 75094-3263
(715) 379-9413
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
921933
TX
163WM0102X
Maternal Newborn Registered Nurse
921933
TX
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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