Provider Demographics
NPI:1629738877
Name:STARNES, CHRISTINE MARIA (RN, BSN, IBCLC)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:MARIA
Last Name:STARNES
Suffix:
Gender:F
Credentials:RN, BSN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1926 N TANGLEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:NIXA
Mailing Address - State:MO
Mailing Address - Zip Code:65714-9459
Mailing Address - Country:US
Mailing Address - Phone:417-299-2675
Mailing Address - Fax:
Practice Address - Street 1:1926 N TANGLEWOOD LN
Practice Address - Street 2:
Practice Address - City:NIXA
Practice Address - State:MO
Practice Address - Zip Code:65714-9459
Practice Address - Country:US
Practice Address - Phone:417-299-2675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-28
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MORN144555163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant