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Jacqueline Stark, CRNA
Certified Registered Nurse Anesthetist in Anaheim, California
NPI 1396742284

Jacqueline Stark is a Certified Registered Nurse Anesthetist based in Santa Ana, CA. Jacqueline Stark practices in Anaheim, CA and has the professional credentials of CRNA. The NPI Number for Jacqueline Stark is 1396742284 and holds a License No. R148323 (California).

The current practice location address for Jacqueline Stark is 3350 W Ball Rd, Anaheim, CA and can be reached out via phone at 714-827-6700. You can also correspond with Jacqueline Stark through the mailing address at 210 N TUSTIN AVE, SANTA ANA, CA - 92705-3807 (mailing address contact number: 714-347-1010).

Location: 3350 W Ball Rd, Anaheim, CA, 92705-3807
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396742284
Provider Name
Jacqueline Stark
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
3350 W Ball Rd, Anaheim, CA, 92705-3807
Phone Number
714-827-6700
Fax Number
Provider Enumeration Date
07/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000831101 05 MD
institution
Provider Business Practice Location Address Details
Address
3350 W Ball Rd
City
Anaheim
State
California
Zip
92804-3710
Phone Number
714-827-6700
Fax Number
person
Provider Business Mailing Address Details
Address
210 N Tustin Ave
City
Santa Ana
State
California
Zip
92705-3807
Phone Number
714-347-1010
Fax Number
714-647-1245
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
3393 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
R148323 (Maryland)
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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