Provider Demographics
NPI:1134114069
Name:STARKWEATHER, ANGELA RENEE (PHD, ARNP)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:RENEE
Last Name:STARKWEATHER
Suffix:
Gender:F
Credentials:PHD, ARNP
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:RENEE
Other - Last Name:FUHLMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ACNP-C, CNRN
Mailing Address - Street 1:PO BOX 980567
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23298-0567
Mailing Address - Country:US
Mailing Address - Phone:804-828-3986
Mailing Address - Fax:804-828-7743
Practice Address - Street 1:12050 W BROAD ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23233-1001
Practice Address - Country:US
Practice Address - Phone:888-809-3078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-16
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024167918363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q55627Medicare UPIN