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MS. SALLY MAGDALEN STARK NP
NPI 1528040995
Nurse Practitioner - Women's Health in Peterson Afb, CO

Active since November 18, 2005
110 W ENT AVE, PETERSON AFB, CO 80914(719) 556-0510(866) 867-7926 Get Directions Write a Review

NPPES record last updated: March 27, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Sally Magdalen Stark Np NPPES

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

MS. SALLY MAGDALEN STARK NP (NPI 1528040995) is an individual women's health provider in Peterson Afb, Colorado, licensed in Colorado (57995) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1528040995
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMS. SALLY MAGDALEN STARKCredential: NP
Location Address110 W ENT AVEPeterson Afb, CO 80914-1595
Mailing Address110 W Ent AvenuePeterson Afb, CO 80914-1595 · (719) 556-0510 · Fax (866) 867-7926
Phone(719) 556-0510
Fax(866) 867-7926
Sole ProprietorNo
Enumeration DateNovember 18, 2005
Last NPPES UpdateMarch 27, 2012
✔ NPI 1528040995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in CO · 57995
110 W ENT AVE, Peterson Afb, CO 80914
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINE JOYCE COX RPH, RD
Pharmacist
110 W ENT AVE, ATTN: 21 MDSS/SGSD - PHARMACY
COLORADO SPRINGS, CO 80914
El Paso County (719) 556-1109
DR. VICTOR GREGOR DENTIST DMD
Dentist
110 W ENT AVE, 21ST DENTAL SQUADRON
COLORADO SPRINGS, CO 80914
El Paso County (719) 556-1334
MONIQUE MCWILLIAMS WALL LCSW
Social Worker (Clinical)
110 W ENT AVE, ATTN: 21 MDOS/SGOH-MENTAL HEALTH
PETERSON AFB, CO 80914
El Paso County (719) 556-8943
DR. KRYSTA ELIZABETH MANNING DMD
Dentist (General Practice)
110 W ENT AVE, ATTN: 21 DS/SGDD - DENTAL CLINIC
COLORADO SPRINGS, CO 80914
El Paso County (719) 556-2273
21ST MEDGRP-PETERSON
Military/U.S. Coast Guard Pharmacy
110 W ENT AVE
PETERSON AFB, CO 80914
El Paso County (719) 556-0865
JOHN FRANKLIN WATKINS III DENTIST DDS
Dentist
110 W ENT AVE, ATTN 2, 21DS/SGGD
PETERSON AFB, CO 80914
El Paso County (719) 556-1333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sally Stark's NPI number?

The NPI number for Sally Stark is 1528040995. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Sally Stark located?

Sally Stark practices at 110 W Ent Ave, Peterson Afb, CO 80914. The listed phone number is (719) 556-0510.

What is Sally Stark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Sally Stark was last updated on March 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.