Provider Demographics
NPI:1558327791
Name:STARKEY, MYRA ANN (WHNP)
Entity Type:Individual
Prefix:MRS
First Name:MYRA
Middle Name:ANN
Last Name:STARKEY
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7155 E 38TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80207-1630
Mailing Address - Country:US
Mailing Address - Phone:303-321-7526
Mailing Address - Fax:303-861-0268
Practice Address - Street 1:7155 E 38TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80207-1630
Practice Address - Country:US
Practice Address - Phone:303-321-7526
Practice Address - Fax:303-813-7642
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN002483363LW0102X
COAPN.0990915-NP363LW0102X
UT5674257-4405363LW0102X
NMCNP-02336363LW0102X
WY36596.1462363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY1558327791Medicaid
NMCNP-02336OtherNEW MEXICO LICENSE
COANP.0990915-NPOtherCOLORADO LICENSE
NM99438569Medicaid
CO58479511Medicaid
NVAPRN002483OtherNEVADA LICENSE