Individual provider · Type 1 NPI
Christal R. Stark, RN, MSN, C-PNP
Pediatric Clinical Nurse Specialist · Summersville, WV
NPI number
1639352602
Active
Practice location
400 Fairview Heights Rd, Suite 302
Summersville, WV 26651-9308
Fax (304) 872-7080
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Clinical Nurse Specialist Primary | 364SP0200X | 67293 (WV) |
Pediatric Clinical Nurse Specialist: Definition to come...
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About NPI 1639352602
Christal R. Stark, RN, MSN, C-PNP's National Provider Identifier is 1639352602, issued on Dec 12, 2007. The primary taxonomy on file is Pediatric Clinical Nurse Specialist (364SP0200X), and the practice location is in Summersville, WV. The record was last updated on Aug 12, 2014.