| Mary Kathryn Stark, RN, MS, FNP, DNP | |
|
1691 The Alameda, San Jose, CA 95126-2203 | |
| (408) 506-8682 | |
| Not Available |
| Full Name | Mary Kathryn Stark |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | 1691 The Alameda, San Jose, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871629055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 704767 (California) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 200750019NP (Oregon) | Secondary |
| Entity Name | Stark Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063754208 PECOS PAC ID: 4284873886 Enrollment ID: O20130611000546 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Kathryn Stark, RN, MS, FNP, DNP 1691 The Alameda, San Jose, CA 95126-2203 Ph: (206) 430-0316 | Mary Kathryn Stark, RN, MS, FNP, DNP 1691 The Alameda, San Jose, CA 95126-2203 Ph: (408) 506-8682 |
Ms. Jane Bernard, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 976 Lenzen Ave, Ste 1800, San Jose, CA 95126 Phone: 408-792-5533 Fax: 408-792-5541 | |
Shuk Fong Tang, APRN Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 2150 N 1st St Fl 2, San Jose, CA 95131 Phone: 415-291-0480 Fax: 415-252-7176 | |
Ms. Kieutram Nguyen, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 800 N 1st St, San Jose, CA 95112 Phone: 408-299-0462 | |
Yen Kim Luu, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5855 Silver Creek Valley Place, San Jose, CA 95138 Phone: 408-574-9100 Fax: 408-574-9235 | |
Ms. Lauren Casey Swansick, NP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1885 Lundy Ave Ste 223, San Jose, CA 95131 Phone: 408-284-9000 | |
Olga Burch, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 614 Tully Rd, San Jose, CA 95111 Phone: 408-494-1500 | |
Mija Delaney, FNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, San Jose, CA 95128 Phone: 408-885-6640 |