MS. CHRISTINA L STEPHAN STARK PNP NPI 1285652099

NPI Information

MS. Christina L Stephan Stark, PNP is a pediatrics nurse practitioner in Saint Louis, MO. MS. Christina L Stephan Stark, PNP NPI is 1285652099. 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:

1 CHILDRENS PL
DIV SURG UROLOGY PED, STE 2A
SAINT LOUIS, MO
ZIP 63110-002
Phone: (314) 454-6034
Fax: (314) 454-2876

The NPI 1285652099 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 11/29/2021.

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:

Other Identifiers

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

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