Provider Demographics
NPI:1477582187
Name:STARKEY, LIZABETH (PA-C)
Entity Type:Individual
Prefix:
First Name:LIZABETH
Middle Name:
Last Name:STARKEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2345 E THOMAS RD
Mailing Address - Street 2:SUITE 410
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-7848
Mailing Address - Country:US
Mailing Address - Phone:602-242-3989
Mailing Address - Fax:602-242-3946
Practice Address - Street 1:2345 E THOMAS RD
Practice Address - Street 2:SUITE 410
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-7848
Practice Address - Country:US
Practice Address - Phone:602-242-3989
Practice Address - Fax:602-242-3946
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ2708363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ834863Medicaid
AZ107808Medicare ID - Type Unspecified
AZ834863Medicaid