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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANNON GAIL STARK, M.A. CCC/SLP, NP-C

Active

SHANNON GAIL STARK, M.A. CCC/SLP, NP-C is a Family Nurse Practitioner healthcare provider located in SIDNEY, New York. NPI 1003129438 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · SIDNEY, NY

Registration Details

NPI Number
1003129438
Provider Type
Individual
Gender
Female
NPI Issued
Jul 14, 2010 (16.075422512064 yrs)
Last Updated
Feb 4, 2019
Licenses
0106541 (NY)
343815 (NY)

Practice Information

Address
39 PEARL ST W
SIDNEY, NY, 13838
Browse NY providers · Browse ZIP 13838
Phone
6075612021
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in SIDNEY, NY

Name Credential NPI
MR. KENNETH EDWARD DEMOTT FNP 1730419870
MRS. JENNIFER M LAVARE NP 1891000329
JULIA MARIE PARSONS DNP, FNP 1215286299
MRS. ROCHELLE LEE CHERRONE FNP 1235562570
MEAGHAN LEIGH PROVOST NP 1588219109
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.