Individual provider · Type 1 NPI

Christina L. Stephan Stark, PNP

Pediatric Nurse Practitioner · St. Louis, MO

NPI number 1285652099 Active

Practice location

1 Childrens Pl, Div Surg Urology Ped, Ste 2A
St. Louis, MO 63110-1002

Call (314) 454-6034 Map

Fax (314) 454-2876

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X128777 (MO)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1285652099

Christina L. Stephan Stark, PNP's National Provider Identifier is 1285652099, issued on Jul 18, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Louis, MO. The record was last updated on Apr 17, 2025.