Provider Demographics
NPI:1790102267
Name:STARR, HEIDI (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:
Last Name:STARR
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MISS
Other - First Name:HEIDI
Other - Middle Name:
Other - Last Name:ZENTACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:2907 PLEASANT VALLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16602-4305
Mailing Address - Country:US
Mailing Address - Phone:814-943-8164
Mailing Address - Fax:
Practice Address - Street 1:700 RISHEL HILL RD
Practice Address - Street 2:
Practice Address - City:BELLEFONTE
Practice Address - State:PA
Practice Address - Zip Code:16823-8440
Practice Address - Country:US
Practice Address - Phone:814-932-9695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-23
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN551976163W00000X
PASP021268363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse