NPI 1528040995 MS. SALLY MAGDALEN STARK NP PETERSON AFB CO. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Ms. Sally Magdalen Stark - NPI: 1528040995

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MS. SALLY MAGDALEN STARK
NPI Number: 1528040995
Entity Type Code: Individual (1)
Gender: F
Credentials: NP
License Number: 57995
Business Practice Address: 110 W Ent Ave
Peterson Afb, CO - 809141595
Business Phone Number: 7195560510
Business Fax Number: 8668677926
Mailing Address: 110 W Ent Avenue,
PETERSON AFB
State: CO
Postal Code: 809141595
Phone Number: 7195560510
Fax Number: 8668677926
NPI Enumeration Date: 11/18/2005
NPI Last Update Date: 03/27/2012
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363LW0102X
License Number: 57995
Healthcare Provider Taxonomy:
(Secondary)
Y
State: CO
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Nurse Practitioner
Taxonomy Specialization: Women's Health
Taxonomy Definition:


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