Provider Demographics
NPI:1205025251
Name:STARCHER, NANCY MARIE (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:MARIE
Last Name:STARCHER
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 5 BOX 485
Mailing Address - Street 2:
Mailing Address - City:KEYSER
Mailing Address - State:WV
Mailing Address - Zip Code:26726-9016
Mailing Address - Country:US
Mailing Address - Phone:304-788-0643
Mailing Address - Fax:
Practice Address - Street 1:1 BAKER PL
Practice Address - Street 2:
Practice Address - City:KEYSER
Practice Address - State:WV
Practice Address - Zip Code:26726-2824
Practice Address - Country:US
Practice Address - Phone:304-788-4200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV22408163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse