Stark, Leeann

Stark, Leeann is an individual health care provider with primary practice located at 1380 E Medical Center Dr , St George UT 84790-2123. 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, Leeann can be contacted via phone (435) 251-1000.

Contact Information

Primary practice address
1380 E Medical Center Dr St George UT 84790-2123
Phone: (435) 251-1000
Fax: (435) 688-5514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2182534405 Utah

Profile Details

NPI number 1760479265
LBN Legal business name Stark, Leeann
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760479265 NPPES
Arizona MEDICAID 820143
Arizona MEDICAID D4293

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