IndividualActive
Tesa Stark, CPNP
NPI 1740296995 · Pediatric Nurse Practitioner · Honolulu, HI
Provider details
- NPI number
- 1740296995
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- No
- License
- 648059 (TX)
Practice location
1887 Makuakane St
Medical Services-Hale Ola
Honolulu, HI 96817-1800
Phone: (808) 842-8075
Mailing address
1887 Makuakane St
Honolulu, HI 96817-1800
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2014-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.