NPI Profile for LYNN M STARK in WELDON SPRING, MO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner | |
Psychiatric/Mental Health, Child & Adolescent |
364SP0807X | 89 | Certified Clinical Nurse Specialist |
| NPI Number | 1033260013 |
|
| Status | Active | |
| Credentials | APRN (Advanced Practice Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 01/16/2007 | |
| Last updated | 11/09/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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LYNN M STARK
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