NPI 1144333683 · live from the CMS NPI Registry
Bonnie Bishop Stark, CNM
Nurse Practitioner, Obstetrics & Gynecology in Anchorage, AK. National Provider Identifier 1144333683, active.
NPI record
| NPI | 1144333683 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Obstetrics & Gynecology 363LX0001X |
| Practice location | 4320 Diplomacy Dr, Anchorage, AK 99508 |
| Practice phone | 907-729-3106 |
| Enumerated | August 17, 2006 |
| Last updated | January 8, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Obstetrics & Gynecology primary | 363LX0001X | 809 (AK) |
| Registered Nurse | 163W00000X | 23839 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.