Individual
LARISSA STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
227 ST. PAUL PLACE, 6TH FLOOR, BALTIMORE, MD 21202-2102
(410) 332-9200
Mailing address
301 ST PAUL PLACE, MEDICAL STAFF OFFICE, BALTIMORE, MD 21202-2102
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R140659
MD
Other
Enumeration date
02/08/2007
Last updated
05/04/2015
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