ROBERTA STARK NP
NPI 1467822726
Nurse Practitioner in Bryan, OH

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363L00000X.

Active since September 30, 2015

442 W HIGH ST STE 3, BRYAN, OH 43506(419) 636-4517(419) 636-6438 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 17, 2018, Mar 6, 2018, Jan 12, 2016 and 1 more (4 updates tracked since 2015).

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About Roberta Stark Np NPPES

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

ROBERTA STARK NP (NPI 1467822726) is an individual nurse practitioner in Bryan, Ohio, licensed in Ohio (APRN.CNP.13364) and active in the NPI registry since September 2015. She maintains a secondary practice location in Toledo.

NPPES Registry Identity

NPI1467822726

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameROBERTA STARKCredential: NP

Location Address442 W HIGH ST STE 3Bryan, OH 43506-1681

Mailing Address3702 New Vision Dr Bldg BFort Wayne, IN 46845-1703 · (260) 266-6013 · Fax (260) 458-5831

Phone(419) 636-4517

Fax(419) 636-6438

Sole ProprietorNo

Enumeration DateSeptember 30, 2015

Last NPPES UpdateMarch 17, 20184 updates tracked since enumeration

✔ NPI 1467822726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OH · APRN.CNP.13364

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License COA13364-NP (OH)

442 W HIGH ST STE 3, Bryan, OH 43506

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Secondary Practice Location 1

Location 14126 N Holland Sylvania Rd, STE 220Toledo, OH 43623-3536 · Phone (419) 517-7600 · Fax (419) 517-7598