Provider Demographics
NPI:1992110761
Name:STARNES, WENDY ANN (AGNP-C, AGPCNP-BC)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:ANN
Last Name:STARNES
Suffix:
Gender:F
Credentials:AGNP-C, AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 45
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:TX
Mailing Address - Zip Code:75671-0045
Mailing Address - Country:US
Mailing Address - Phone:903-320-3200
Mailing Address - Fax:903-471-8655
Practice Address - Street 1:1600 S WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:TX
Practice Address - Zip Code:75670
Practice Address - Country:US
Practice Address - Phone:903-320-3200
Practice Address - Fax:903-471-8655
Is Sole Proprietor?:No
Enumeration Date:2014-06-30
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP126149363L00000X
TX597036363LG0600X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology