Provider Demographics
NPI:1376801837
Name:STARCHER, GIRLIE TAPALLA (LPN)
Entity Type:Individual
Prefix:
First Name:GIRLIE
Middle Name:TAPALLA
Last Name:STARCHER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6945 COUNTY ROAD 121
Mailing Address - Street 2:
Mailing Address - City:MOUNT GILEAD
Mailing Address - State:OH
Mailing Address - Zip Code:43338-9554
Mailing Address - Country:US
Mailing Address - Phone:614-348-9625
Mailing Address - Fax:
Practice Address - Street 1:6945 COUNTY ROAD 121
Practice Address - Street 2:
Practice Address - City:MOUNT GILEAD
Practice Address - State:OH
Practice Address - Zip Code:43338-9554
Practice Address - Country:US
Practice Address - Phone:614-348-9625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-02
Last Update Date:2012-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH122764164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse