Individual provider · Type 1 NPI
Nanci H. Stark, APRN
Gerontology Clinical Nurse Specialist · La Grange, IL
NPI number
1629614136
Active
Practice location
705 S Kensington Ave
La Grange, IL 60525-2708
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Clinical Nurse Specialist Primary | 364SG0600X | 20901978 (IL) |
Gerontology Clinical Nurse Specialist: Definition to come...
About NPI 1629614136
Nanci H. Stark, APRN's National Provider Identifier is 1629614136, issued on Nov 19, 2019. The primary taxonomy on file is Gerontology Clinical Nurse Specialist (364SG0600X), and the practice location is in La Grange, IL. The record was last updated on Nov 19, 2019.