MRS. SHANA STARK, N.P.
Nurse Practitioner - Primary Care
Active
Individual
NPI: 1124443676
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | No | 201501818NP-PP (OR) |
| Nurse Practitioner - Primary Care | 363LP2300X | Yes | 111628 (NE) |
Frequently Asked Questions
NPI 1124443676 is the National Provider Identifier for MRS. SHANA STARK, N.P., a Nurse Practitioner - Primary Care provider located in Brookings, OR. This NPI was enumerated on February 20, 2014.
MRS. SHANA STARK, N.P. practices at 500 5TH ST, Brookings, OR 97415.
Quick Facts
- NPI
- 1124443676
- Type
- Individual
- Enumerated
- Feb 20, 2014
- Last Updated
- Sep 16, 2022
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