Christal R Stark, RN, MSN, C-PNP in Summersville, WV - Clinical Nurse Specialist

Christal R Stark, RN, MSN, C-PNP is a Clinical Nurse Specialist - Pediatrics based in Summersville, West Virginia. Christal R Stark is licensed to practice in West Virginia (license number 67293) and her current practice location is 400 Fairview Heights Rd, Suite 302, Summersville, West Virginia. She can be reached at her office (for appointments etc.) via phone at (304) 872-7063.

NPI number for Christal R Stark is 1639352602 and her current mailing address is 400 Fairview Heights Rd, Suite 302, Summersville, West Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639352602.

Contact Information

	Christal R Stark, RN, MSN, C-PNP
	400 Fairview Heights Rd, Suite 302, Summersville, WV 26651-9308
	(304) 872-7063
	(304) 872-7080

Provider's Profile

Full Name	Christal R Stark
Gender	Female
Speciality	Clinical Nurse Specialist - Pediatrics
Location	400 Fairview Heights Rd, Summersville, West Virginia
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1639352602
Provider Enumeration Date: 12/12/2007
Last Update Date: 08/12/2014

Medical Identifiers

Medical identifiers for Christal R Stark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639352602	NPI	-	NPPES
67293	Other	WV	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
364SP0200X	Clinical Nurse Specialist - Pediatrics	67293 (West Virginia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christal R Stark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Christal R Stark, RN, MSN, C-PNP 400 Fairview Heights Rd, Suite 302, Summersville, WV 26651-9308 Ph: (304) 872-7063	Christal R Stark, RN, MSN, C-PNP 400 Fairview Heights Rd, Suite 302, Summersville, WV 26651-9308 Ph: (304) 872-7063

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Christal R Stark, RN, MSN, C-PNP - Clinical Nurse Specialist in Summersville, WV