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Individual

KRISTEN NICOLE STARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
6320 N 82ND ST, SCOTTSDALE, AZ 85250-5611
(480) 484-3100
(480) 484-3101
Mailing address
4202 E HEARN RD, PHOENIX, AZ 85032-5459
(602) 541-0240

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN181903
AZ

Other

Enumeration date
11/06/2013
Last updated
11/06/2013
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