Nola Fay Stark NP

NPI 1063520328 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1063520328
Gender Female
Enumeration Date 08/28/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
500 W FORT ST
BOISE ID, 83702-4501, US
Phone (208) 422-1000
Fax (208) 422-1188
Business Location
4024 IVY DR
NAMPA ID, 83686-8852, US
Phone (208) 466-5490
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Idaho
License Number NP56
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According to our database, Nola Fay Stark NP NPI is 1063520328, taxonomy code is 363LF0000X and license number is NP56, license state is located at Idaho. Nola Fay Stark NP physically located at 500 W Fort St, Boise ID, 83702-4501. NPI Number Nola Fay Stark NP has the Individual type.

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1063520328 NPI number is provided on an as is basis without warranty of any kind. 1063520328 is maintained by the National Plan & Provider Enumeration System. The contents of Nola Fay Stark NP are for informational purposes only.