Provider Demographics
NPI:1154520286
Name:STARENSIER, PHYLLIS WHITMAN (CRNA)
Entity type:Individual
Prefix:
First Name:PHYLLIS
Middle Name:WHITMAN
Last Name:STARENSIER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1355 SAGE CT
Mailing Address - Street 2:
Mailing Address - City:ASPEN
Mailing Address - State:CO
Mailing Address - Zip Code:81611-1039
Mailing Address - Country:US
Mailing Address - Phone:970-925-6759
Mailing Address - Fax:970-925-1667
Practice Address - Street 1:1355 SAGE CT
Practice Address - Street 2:
Practice Address - City:ASPEN
Practice Address - State:CO
Practice Address - Zip Code:81611-1039
Practice Address - Country:US
Practice Address - Phone:970-925-6759
Practice Address - Fax:970-925-1667
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-18
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO80624282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital