Provider Demographics
NPI:1447419973
Name:STARKE, WYNTER E I (LPN)
Entity Type:Individual
Prefix:MISS
First Name:WYNTER
Middle Name:E
Last Name:STARKE
Suffix:I
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 1:541 PELHAM RD APT 6K
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10805-1615
Mailing Address - Country:US
Mailing Address - Phone:914-837-3002
Mailing Address - Fax:
Practice Address - Street 1:541 PELHAM RD APT 6K
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10805-1615
Practice Address - Country:US
Practice Address - Phone:914-837-3002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY10249152164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02349053Medicaid