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Susan Elizabeth Stark
Family Nurse Practitioner in Aurora, Minnesota
NPI 1598105694

Susan Elizabeth Stark is a Family Nurse Practitioner based in Aurora, MN and is specialized in Family. Susan Elizabeth Stark practices in Aurora, MN. The NPI Number for Susan Elizabeth Stark is 1598105694 and holds a License No. R153102-8 (Minnesota).

The current practice location address for Susan Elizabeth Stark is 5211 Highway 110, Aurora, MN and can be reached out via phone at 218-229-3311.

Location: 5211 Highway 110, Aurora, MN, 55705-1522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598105694
Provider Name
Susan Elizabeth Stark
Credential
Provider Entity Type
Individual
Gender
Female
Address
5211 Highway 110, Aurora, MN, 55705-1522
Phone Number
218-229-3311
Fax Number
Provider Enumeration Date
07/03/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1598105694 05 MN
institution
Provider Business Practice Location Address Details
Address
5211 Highway 110
City
Aurora
State
Minnesota
Zip
55705-1522
Phone Number
218-229-3311
Fax Number
person
Provider Business Mailing Address Details
Address
5211 Highway 110
City
Aurora
State
Minnesota
Zip
55705-1522
Phone Number
218-229-3311
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R153102-8 (Minnesota)
Definition
Definition to come...
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