Stark, Mariailiana J

Stark, Mariailiana J is an individual health care provider with primary practice located at 2002 B Hunnewell Street , Honolulu HI 96822. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Stark, Mariailiana J can be contacted via phone (808) 947-9009.

Contact Information

Primary practice address
2002 B Hunnewell Street Honolulu HI 96822
Phone: (808) 947-9009
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN 260 Hawaii
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X RN 23131 Hawaii

Profile Details

NPI number 1629279716
LBN Legal business name Stark, Mariailiana J
Credentials DRPH, RN,APRN,CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2007
Last updated Jul 9th, 2007 - about 19 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 1629279716 NPPES
Hawaii Other 0000221481 HMSA
Hawaii MEDICAID 55177201 HMSA

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