Ms Christina L Stephan Stark, PNP - Nurse Practitioner in Saint Louis, MO

Ms Christina L Stephan Stark, PNP is a Nurse Practitioner - Pediatrics based in Saint Louis, Missouri. Ms Christina L Stephan Stark is licensed to practice in Missouri (license number 128777) and her current practice location is 1 Childrens Pl, Div Surg Urology Ped, Ste 2a, Saint Louis, Missouri. She can be reached at her office (for appointments etc.) via phone at (314) 454-6034.

NPI number for Ms Christina L Stephan Stark is 1285652099 and her current mailing address is Po Box 60352, Saint Louis, Missouri. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285652099.

Contact Information

Ms Christina L Stephan Stark, PNP
1 Childrens Pl, Div Surg Urology Ped, Ste 2a,
Saint Louis, MO 63110-1002
(314) 454-6034
(314) 454-2876

Map and Direction




Provider's Profile

Full NameMs Christina L Stephan Stark
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location1 Childrens Pl, Saint Louis, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1285652099
  • Provider Enumeration Date: 07/18/2006
  • Last Update Date: 04/25/2024

Medical Identifiers

Medical identifiers for Ms Christina L Stephan Stark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285652099NPI-NPPES
429036403MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 128777 (Missouri)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. Ms Christina L Stephan 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 AddressPractice Location Address
Ms Christina L Stephan Stark, PNP
Po Box 60352,
Saint Louis, MO 63160-0352

Ph: (314) 454-6034
Ms Christina L Stephan Stark, PNP
1 Childrens Pl, Div Surg Urology Ped, Ste 2a,
Saint Louis, MO 63110-1002

Ph: (314) 454-6034

Reviews and Comments


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