Individual provider · Type 1 NPI

Shannon Lynn Stark, NP

Family Nurse Practitioner · Mesa, AZ

NPI number 1730645763 Active

Practice location

2735 E Main St Ste 2&3
Mesa, AZ 85213-9269

Fax (480) 867-1709

Mailing address

11261 E Raleigh Ave
Mesa, AZ 85212-4084

Other practice locations

  • 3833 E Thomas Rd Ste A2, Phoenix, AZ 85018-7523 · (602) 671-7066
  • 690 E Warner Rd Ste 133, Gilbert, AZ 85296-3057 · (480) 892-1212

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X222543 (AZ)

Family Nurse Practitioner: Definition to come...

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About NPI 1730645763

Shannon Lynn Stark, NP's National Provider Identifier is 1730645763, issued on Feb 14, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mesa, AZ. The record was last updated on Feb 10, 2026.