What is Crystal Starks's NPI number?

The NPI number assigned to this healthcare provider is 1396966198, enumerated as a individual on May 1, 2007.

Where is the provider located?

The provider is located at 2626 E 46TH ST SUITE J INDIANAPOLIS, IN 46205 and the phone number is (317) 475-9066.

What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

MS. CRYSTAL STARKS L.P.N. - NPI 1396966198 - Licensed Practical Nurse in Indianapolis, IN

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About Ms. Crystal Starks L.p.n. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. CRYSTAL STARKS L.P.N. (NPI 1396966198) is an individual licensed practical nurse in Indianapolis, Indiana, licensed in Indiana (27050766A) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1396966198

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMS. CRYSTAL STARKSCredential: L.P.N.

Location Address2626 E 46TH ST, SUITE JIndianapolis, IN 46205-2380

Mailing Address3809 N Kitley AveIndianapolis, IN 46226-4927 · (317) 545-9120

Phone(317) 475-9066

Fax(317) 472-9683

Sole ProprietorYes

Enumeration DateMay 1, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1396966198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in IN · 27050766A

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

2626 E 46TH ST, Indianapolis, IN 46205

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