Roberta Stark, NP

Nurse Practitioner · Bryan, OH

Individual Active NPI

NPI number 1467822726

Practice location

442 W High St Ste 3
Bryan, OH 43506-1681
Phone
(419) 636-4517
Fax
(419) 636-6438

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NPI record

NPI
1467822726
Entity type
Individual (Type 1)
Enumeration date
September 30, 2015
Last updated
March 17, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X APRN.CNP.13364 OH
Women's Health Nurse Practitioner 363LW0102X COA13364-NP OH

Mailing address

3702 New Vision Dr Bldg B
Fort Wayne, IN 46845-1703
Phone
(260) 266-6013
Fax
(260) 458-5831

Other practice locations (2)

  • 4126 N Holland Sylvania Rd, Ste 220, Toledo, OH 43623-3536 · (419) 517-7600
  • 4126 N Holland Sylvania Rd, Ste 220, Toledo, OH 43623-3536 · (419) 517-7600

About Roberta Stark

Roberta Stark, NP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 442 W High St Ste 3, Bryan, OH 43506-1681. The NPI number 1467822726 was assigned on September 30, 2015 and the record was last updated on March 17, 2018.

Roberta Stark lists 2 licenses in the registry: #APRN.CNP.13364 (OH) for Nurse Practitioner; #COA13364-NP (OH) for Women's Health Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Roberta Stark, NP?

The NPI number is 1467822726.

What is the phone number of Roberta Stark?

The phone number listed for the practice location is (419) 636-4517.

Where is Roberta Stark located?

442 W High St Ste 3, Bryan, OH 43506-1681.

What is the taxonomy code for Roberta Stark?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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