Provider Demographics
NPI:1457162372
Name:STARRETT, VICTORIA A (CNA HHA)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:A
Last Name:STARRETT
Suffix:
Gender:F
Credentials:CNA HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4528 108TH ST NE
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98271-8332
Mailing Address - Country:US
Mailing Address - Phone:425-905-4307
Mailing Address - Fax:
Practice Address - Street 1:4528 108TH ST NE
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98271-8332
Practice Address - Country:US
Practice Address - Phone:425-905-4307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA10019661376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide