Provider Demographics
NPI:1588113435
Name:STARNES, ASHLEY ARLEEN (FNP)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ARLEEN
Last Name:STARNES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:ARLEEN
Other - Last Name:CASTEEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:110 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:ELLINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63638-9400
Mailing Address - Country:US
Mailing Address - Phone:573-663-2313
Mailing Address - Fax:573-663-2441
Practice Address - Street 1:202 N ALLEN ST
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MO
Practice Address - Zip Code:63620-8778
Practice Address - Country:US
Practice Address - Phone:573-598-4213
Practice Address - Fax:573-598-4602
Is Sole Proprietor?:No
Enumeration Date:2016-10-03
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016035065363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily