MEDICARE: MR. ALEX JAMES STARK-VALDEZ FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	2020011688	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477161420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALEX JAMES STARK-VALDEZ FNP

Provider Business Mailing Address
First Line	:	PO BOX 7412011
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60674-2011
Country	:	US
Telephone Number	:	314-859-1234
Fax Number	:	314-859-1235

Provider Business Practice Location Address
First Line	:	272 MAYFAIR PLAZA SHOPPING CTR
Second Line	:
City	:	FLORISSANT
State	:	MO
Zip	:	63033-8009
Country	:	US
Telephone Number	:	314-859-1234
Fax Number	:	314-859-1235

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2020
Last Update Date	:	04/18/2025

Similar Medicare Providers

1962344234 — DVA WASHINGTON UNIVERSITY
Practice Location Address:

272 MAYFAIR PLAZA SHOPPING CTR
FLORISSANT, MO
63033-8009

Practice Phone: 314-859-1234
Practice Fax:

1942710991 — WASHINGTON UNIVERSITY
Practice Location Address:

272 MAYFAIR PLAZA SHOPPING CTR
FLORISSANT, MO
63033-8009

Practice Phone: 314-859-1234
Practice Fax: 314-859-1235

1336649565 — ADVANCED SURGICAL CARE OF ST. LOUIS, LLC
Practice Location Address:

232 MAYFAIR PLAZA SHOPPING CTR
FLORISSANT, MO
63033-8009

Practice Phone: 314-736-4344
Practice Fax: 314-736-4345

1336897370 — MR. THOMAS FANCIS GOWEN JR. RN
Practice Location Address:

272 MAYFAIR PLAZA SHOPPING CTR
FLORISSANT, MO
63033-8009

Practice Phone: 314-859-1234
Practice Fax:

1679390330 — FRIENDS FOR LIFE ADULT DAY CARE LLC
Practice Location Address:

232 MAYFAIR PLAZA SHOPPING CTR
FLORISSANT, MO
63033-8009

Practice Phone: 314-685-9672
Practice Fax: 314-801-8434

1750215117 — 4D.R LLC
Practice Location Address:

2965 DEVONSHIRE DR
FLORISSANT, MO
63033-1319

Practice Phone: 314-369-7239
Practice Fax:

Directions to “ MR. ALEX JAMES STARK-VALDEZ FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.