Provider Demographics
NPI:1336655984
Name:STARKEY, LAURA ANN (FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:ANN
Last Name:STARKEY
Suffix:
Gender:F
Credentials:FNP-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 7435
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44705-0435
Mailing Address - Country:US
Mailing Address - Phone:330-664-1670
Mailing Address - Fax:330-664-1675
Practice Address - Street 1:3562 RIDGE PARK DR # D1
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333
Practice Address - Country:US
Practice Address - Phone:330-664-1670
Practice Address - Fax:330-664-1675
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-19
Last Update Date:2019-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHARNP.CNP.021846363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner