Individual provider · Type 1 NPI

Andrea Chance Stark, ARNP

Pediatric Nurse Practitioner · Loxahatchee, FL

NPI number 1194727644 Active

Practice location

13475 Southern Blvd Ste 202
Loxahatchee, FL 33470-9234

Fax (561) 798-2733

Mailing address

2000 Palm Beach Lakes Blvd Ste 901
West Palm Beach, FL 33409-6506

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XARNP 2587202 (FL)
Pediatric Nurse Practitioner Primary 363LP0200XAPRN2587202 (FL)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1194727644

Andrea Chance Stark, ARNP's National Provider Identifier is 1194727644, issued on Aug 15, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Loxahatchee, FL. The record was last updated on Sep 23, 2025.