Provider Demographics
NPI:1336124072
Name:STARKEL, PENNY LYNN (NP)
Entity Type:Individual
Prefix:MS
First Name:PENNY
Middle Name:LYNN
Last Name:STARKEL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:PENNY
Other - Middle Name:L
Other - Last Name:CHARRANCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 12
Mailing Address - Street 2:
Mailing Address - City:LIBERTY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99019-0012
Mailing Address - Country:US
Mailing Address - Phone:866-747-2455
Mailing Address - Fax:406-329-2659
Practice Address - Street 1:6 13TH AVE E
Practice Address - Street 2:
Practice Address - City:POLSON
Practice Address - State:MT
Practice Address - Zip Code:59860-5315
Practice Address - Country:US
Practice Address - Phone:406-883-5377
Practice Address - Fax:406-883-8254
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTNUR-APRN-LIC-100584363LF0000X
NH059023-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1014838Medicaid
NH1336124072OtherNPI
NH7088599OtherAETNA
NHAA118374OtherHAVARD PILGRIM
NH7542474OtherCIGNA
VT8001417OtherLADIES FIRST
NHP55424OtherBCBS OF NH RAN NUMBER
NH23YP13367NH01OtherBCBS OF NH
NH6013194OtherMVP
NH30346581Medicaid
VT1336124072OtherVT BCBS
NH000515701Medicare PIN
NH7542474OtherCIGNA