Stark, Sherise Melanie

Stark, Sherise Melanie is an individual health care provider with primary practice located at 13505 Us Highway 1 , Sebastian FL 32958-3759. 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, Sherise Melanie can be contacted via phone (772) 257-8224.

Contact Information

Primary practice address
13505 Us Highway 1 Sebastian FL 32958-3759
Fax: (772) 213-3157
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11004086 Florida

Profile Details

NPI number 1669022505
LBN Legal business name Stark, Sherise Melanie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2019
Last updated Mar 10th, 2022 - about 4 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 1669022505 NPPES
Florida Other APRN11004086 STATE LICENSE

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