Individual provider · Type 1 NPI

Rebekah Rose Stark

Nurse Practitioner · Milwaukee, WI

NPI number 1841997095 Active

Practice location

2901 W Kk River Pkwy Ste 507
Milwaukee, WI 53215-3660

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Other practice locations

  • 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 · (414) 805-5580

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X13843-33 (WI)
Registered Nurse 163W00000X235821-30 (WI)
Nurse Practitioner Primary 363L00000X13843 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

4 other providers at this address

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About NPI 1841997095

Rebekah Rose Stark's National Provider Identifier is 1841997095, issued on Feb 8, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Milwaukee, WI. The record was last updated on Oct 29, 2024.