Stark, Amanda

Stark, Amanda is an individual health care provider with primary practice located at 123 Audubon Dr Ste 600 , Maumelle AR 72113-5506. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Stark, Amanda can be contacted via phone (501) 803-9481.

Contact Information

Primary practice address
123 Audubon Dr Ste 600 Maumelle AR 72113-5506
Phone: (501) 803-9481
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A005801 Arkansas

Profile Details

NPI number 1316414642
LBN Legal business name Stark, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2018
Last updated Oct 24th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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