Nurse Practitioner, Pediatrics
TESA STARK CPNP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1740296995 · enumerated 2006-07-31 · record updated 2014-10-02. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 1887 MAKUAKANE ST, MEDICAL SERVICES-HALE OLA, HONOLULU, HI, 96817-1800 (808) 842-8075 Google Maps Apple Maps OpenStreetMap
- Practice location 1887 MAKUAKANE ST, MEDICAL SERVICES-HALE OLA, HONOLULU, HI, 96817-1800 (808) 842-8075 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · License 648059 TX
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 1290 HI
In this directory
Locations and evidence
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Practice location
HONOLULU, HI, 968171800
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.