Nanci H Stark, APRN is a
Clinical Nurse Specialist - Gerontology based in La Grange, Illinois. Nanci H Stark is licensed to practice in Illinois (license number 20901978) and her current practice location is
705 S Kensington Ave, La Grange, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 216-8554.
NPI number for Nanci H Stark is 1629614136 and her current mailing address is 705 S Kensington Ave, La Grange, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629614136.
Provider's Profile
| Full Name | Nanci H Stark |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Gerontology |
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| Location | 705 S Kensington Ave, La Grange, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629614136
- Provider Enumeration Date: 11/19/2019
- Last Update Date: 11/19/2019
Medical Identifiers
Medical identifiers for Nanci H Stark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629614136 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 364SG0600X | Clinical Nurse Specialist - Gerontology | 20901978 (Illinois) | 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. Nanci H 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 |
Nanci H Stark, APRN 705 S Kensington Ave, La Grange, IL 60525-2708 Ph: (708) 216-8554 | Nanci H Stark, APRN 705 S Kensington Ave, La Grange, IL 60525-2708 Ph: (708) 216-8554 |
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