Individual provider · Type 1 NPI

Nola Fay Stark, NP

Family Nurse Practitioner · Boise, ID

NPI number 1063520328 Active

Practice location

500 W Fort St
Boise, ID 83702-4501

Fax (208) 422-1188

Mailing address

4024 Ivy Dr
Nampa, ID 83686-8852

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNP56 (ID)

Family Nurse Practitioner: Definition to come...

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About NPI 1063520328

Nola Fay Stark, NP's National Provider Identifier is 1063520328, issued on Aug 28, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boise, ID. The record was last updated on Jul 8, 2007.