Provider Demographics
NPI:1457568933
Name:STARKEY, BRENDA CHRISTINE (NAC, X-RAY TECH)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:CHRISTINE
Last Name:STARKEY
Suffix:
Gender:F
Credentials:NAC, X-RAY TECH
Other - Prefix:
Other - First Name:BRENDA
Other - Middle Name:CHRISTINE
Other - Last Name:GILLASPY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:EMS-IV, NAC
Mailing Address - Street 1:PO BOX 290
Mailing Address - Street 2:
Mailing Address - City:INCHELIUM
Mailing Address - State:WA
Mailing Address - Zip Code:99138-0290
Mailing Address - Country:US
Mailing Address - Phone:509-722-7006
Mailing Address - Fax:509-722-7021
Practice Address - Street 1:39 SHORT CUT RD.
Practice Address - Street 2:
Practice Address - City:INCHELIUM
Practice Address - State:WA
Practice Address - Zip Code:99138-0290
Practice Address - Country:US
Practice Address - Phone:509-722-7006
Practice Address - Fax:509-722-7021
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANC10066063376K00000X
WAXT 60423498247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist