Individual provider · Type 1 NPI
Shana S. Stark, N.P.
Primary Care Nurse Practitioner · Lincoln, NE
NPI number
1124443676
Active
Practice location
2905 W Peach St
Lincoln, NE 68522-4438
Fax (888) 965-0959
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 111628 (NE) |
| Family Nurse Practitioner | 363LF0000X | 201501818NP-PP (OR) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1124443676
Shana S. Stark, N.P.'s National Provider Identifier is 1124443676, issued on Feb 20, 2014. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Lincoln, NE. The record was last updated on Jun 11, 2026.