Individual provider · Type 1 NPI
Robert O. Stark, NP
Nurse Practitioner · Longmont, CO
Practice location
1925 W Mountain View Ave
Longmont, CO 80501-3128
Fax (720) 494-3107
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 129114 (CO) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1124090048
Robert O. Stark, NP's National Provider Identifier is 1124090048, issued on Feb 3, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Longmont, CO. The record was last updated on Jul 13, 2026.