NPI 1639352602

Christal R Stark, RNMSNCPNP

Practitioner Pediatric Clinical Nurse Specialist Summersville, WV

Practice location

Address: 400 Fairview Heights Rd Suite 302, Summersville, WV 26651-9308
Phone: (304) 872-7063
Fax: (304) 872-7080

Registered specialties

Pediatric Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0200X Licence 67293 (WV)

Other Clinical Nurse Specialist providers in West Virginia →

Registry record

NPI: 1639352602
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Dec 2007
Record last updated: 12 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.