Provider Demographics
NPI:1588050223
Name:STARLIGHT NP LLC
Entity type:Organization
Organization Name:STARLIGHT NP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFITHS
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:440-462-2600
Mailing Address - Street 1:915 BASSETT RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-1108
Mailing Address - Country:US
Mailing Address - Phone:440-462-2600
Mailing Address - Fax:440-250-8670
Practice Address - Street 1:915 BASSETT RD
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-1108
Practice Address - Country:US
Practice Address - Phone:440-462-2600
Practice Address - Fax:440-250-8670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-09
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty