Individual
MRS. PATRICIA M STARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
2678 S GLENMARE ST, SALT LAKE CITY, UT 84106-3606
(801) 583-5854
Mailing address
2678 S GLENMARE ST, SALT LAKE CITY, UT 84106-3606
(801) 583-5854
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
344443-4405
UT
363LF0000X
Family Nurse Practitioner
344443-4405
UT
363LP0200X
Pediatric Nurse Practitioner
344443-4405
UT
363LP2300X
Primary Care Nurse Practitioner
344443-4405
UT
Other
Enumeration date
05/21/2016
Last updated
11/19/2021
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