Provider Demographics
NPI:1326750803
Name:STARK, YVETTE F
Entity Type:Individual
Prefix:MS
First Name:YVETTE
Middle Name:F
Last Name:STARK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:YVETTE
Other - Middle Name:F
Other - Last Name:BISCHEL-STARK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1302 LOWE AVE
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-2522
Mailing Address - Country:US
Mailing Address - Phone:530-828-4033
Mailing Address - Fax:
Practice Address - Street 1:100 INDEPENDENCE CIR
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-0258
Practice Address - Country:US
Practice Address - Phone:530-899-0295
Practice Address - Fax:530-899-0142
Is Sole Proprietor?:No
Enumeration Date:2022-12-16
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10321363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health