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NPI Profile for NANCI H STARK in LA GRANGE, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
364SG0600X | 89 | Certified Clinical Nurse Specialist |
| NPI # | 1629614136 |
|
| Status | Active | |
| Credentials | APRN (Advanced Practice Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 11/19/2019 | |
| Last updated | 11/19/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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NANCI H STARK
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NANCI H STARK, APRN