Provider Demographics
NPI:1730502477
Name:STAROSKA, JUSTINA LYNN (CNM)
Entity type:Individual
Prefix:MRS
First Name:JUSTINA
Middle Name:LYNN
Last Name:STAROSKA
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Gender:F
Credentials:CNM
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Mailing Address - Street 1:200 SAINT CLAIR AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:OH
Mailing Address - Zip Code:45885-2400
Mailing Address - Country:US
Mailing Address - Phone:419-394-7314
Mailing Address - Fax:419-394-7313
Practice Address - Street 1:1140 S KNOXVILLE AVE STE B
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:OH
Practice Address - Zip Code:45885-2609
Practice Address - Country:US
Practice Address - Phone:419-394-7314
Practice Address - Fax:419-394-7313
Is Sole Proprietor?:No
Enumeration Date:2014-01-31
Last Update Date:2025-11-04
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Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.15477363LW0102X
OHAPRN.CNM.019350367A00000X
OHNP-15477363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0385455Medicaid