Andrea Stark, APRN | |
227 N Market St, Paxton, IL 60957-1123 | |
(217) 379-4864 | |
(217) 379-2604 |
Full Name | Andrea Stark |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 227 N Market St, Paxton, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568247229 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209028190 (Illinois) | Primary |
Entity Name | Gibson Community Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114935681 PECOS PAC ID: 5092703124 Enrollment ID: O20040505001293 |
Mailing Address | Practice Location Address |
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Andrea Stark, APRN 1120 N Melvin St, Gibson City, IL 60936-1477 Ph: (217) 784-4251 | Andrea Stark, APRN 227 N Market St, Paxton, IL 60957-1123 Ph: (217) 379-4864 |
Shelby Warner, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 227 N Market St, Paxton, IL 60957 Phone: 217-379-4864 | |
Celia A Hethke, RNC, ANP, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 227 N Market St, Paxton, IL 60957 Phone: 217-379-4864 | |
Mrs. Kellie Franzen, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 227 N Market St, Paxton, IL 60957 Phone: 217-379-4864 Fax: 217-379-2604 | |
Mrs. Kelli Marie Vaughn, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 227 N Market St, Paxton, IL 60957 Phone: 217-379-4864 | |
Justi Marie Hudson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 227 N Market St, Paxton, IL 60957 Phone: 217-379-4864 Fax: 217-379-2604 |