Individual provider · Type 1 NPI

Marissa Stark

Registered Nurse · Gallup, NM

NPI number 1174068068 Active

Practice location

516 E Nizhoni Blvd
Gallup, NM 87301-5748

Call (505) 722-1000 Map

Mailing address

PO Box 1337
Gallup, NM 87305-1337

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X81165 (NM)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1174068068

Marissa Stark's National Provider Identifier is 1174068068, issued on Dec 30, 2016. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Gallup, NM. The record was last updated on Dec 30, 2016.