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NPI Code Detail

MEDICARE: COURTNEY NICOLE STARK

MEDICARE:   COURTNEY NICOLE STARK
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
1163WN0800XNeuroscience Registered NurseR0106470OK

General Provider Information

NPI Number : 1235087313
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY NICOLE STARK
Provider Business Mailing Address
First Line : 700 NE 13TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5004
Country : US
Telephone Number : 405-271-4700
Fax Number :
Provider Business Practice Location Address
First Line : 700 NE 13TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5004
Country : US
Telephone Number : 405-271-4700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2026
Last Update Date : 03/17/2026

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Directions to “ COURTNEY NICOLE STARK ” Practice Location

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