MS. ROSELLE STARK MN APRN BC NPI 1275549321

NPI Information

NPI: 1275549321
Provider Name: MS. ROSELLE STARK, MN, APRN, BC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
8609 SUDLEY RD
SUITE 201
MANASSAS, VA
ZIP 20110
Phone: (703) 577-1492
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MS. Roselle Stark, MN, APRN, BC is a mental health counselor in Manassas, VA. MS. Roselle Stark, MN, APRN, BC NPI is 1275549321. 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:

8609 SUDLEY RD
SUITE 201
MANASSAS, VA
ZIP 20110-321
Phone: (703) 577-1492
Fax: (703) 464-0452

The enumeration date for this NPI number is 7/31/2006 and was last updated on 10/27/2015.

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	101YM0800X	Counselor	Mental Health	0001162248	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	010345308	MEDICAID	VIRGINIA

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: 5/5/2024

NPI Synchronization or Removal

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