person
Ms. Christina L Stephan Stark, PNP
Pediatric Nurse Practitioner in Saint Louis, Missouri
NPI 1285652099

Christina L Stephan Stark is a Pediatric Nurse Practitioner based in Saint Louis, MO and is specialized in Pediatrics. Christina L Stephan Stark practices in Saint Louis, MO and has the professional credentials of PNP. The NPI Number for Christina L Stephan Stark is 1285652099 and holds a License No. 128777 (Missouri).

The current practice location address for Christina L Stephan Stark is 1 Childrens Pl, Saint Louis, MO and can be reached out via phone at 314-454-6034 and via fax at 314-454-2876.

Location: 1 Childrens Pl, Saint Louis, MO, 63160-0352
person
Provider Profile Details
NPI Number
1285652099
Provider Name
Christina L Stephan Stark
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
1 Childrens Pl, Saint Louis, MO, 63160-0352
Phone Number
314-454-6034
Fax Number
314-454-2876
Provider Enumeration Date
07/18/2006
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
429036403 05 MO
institution
Provider Business Practice Location Address Details
Address
1 Childrens Pl
City
State
Zip
63110-1002
Phone Number
314-454-6034
Fax Number
314-454-2876
person
Provider Business Mailing Address Details
Address
1 Childrens Pl
City
State
Zip
63110-1002
Phone Number
314-454-6034
Fax Number
314-454-2876
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
128777 (Missouri)
Definition
Definition to come...
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