Healthcare Provider Details

I. General information

NPI: 1487124392
Provider Name (Legal Business Name): ALLISON R STARK NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLISON R STEFFEN

II. Dates (important events)

Enumeration Date: 12/04/2018
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 S 16TH ST
LINCOLN NE
68502-3704
US

IV. Provider business mailing address

PO BOX 860876
MINNEAPOLIS MN
55486-0876
US

V. Phone/Fax

Practice location:
  • Phone: 402-475-1011
  • Fax: 402-481-4783
Mailing address:
  • Phone: 402-483-8590
  • Fax: 402-483-8599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number74308
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number112700
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: