MEGAN STARK NP NPI 1154796811

NPI Information

NPI: 1154796811
Provider Name: MEGAN STARK, NP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
17705 HUTCHINS DR STE 100
MINNETONKA, MN
ZIP 55345
Phone: (952) 401-8300
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Megan Stark, NP is a pediatrics nurse practitioner in Minnetonka, MN. Megan Stark, NP NPI is 1154796811. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

17705 HUTCHINS DR STE 100
MINNETONKA, MN
ZIP 55345-145
Phone: (952) 401-8300
Fax: (952) 401-8242

The enumeration date for this NPI number is 12/7/2015 and was last updated on 11/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	5527	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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