Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Marissa Stark

Individual provider Registered Nurse · NPI 1174068068

Mrs. Marissa Stark is a Registered Nurse in Gallup, New Mexico. Licensed in New Mexico. Registered with an NPI since 2016.

Licensed in
NM
In the registry since
2016

Practice location Address checks out

516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone: (505) 722-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 81165 (NM)

Record details

NPI number1174068068
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 30, 2016
Last updated in NPPESDecember 30, 2016
Mailing addressPo Box 1337, Gallup, NM 87305-1337

Other providers in Gallup