Provider Demographics
NPI:1831190578
Name:STARKWEATHER, HELEN MARIE (RN, MSN, FNP)
Entity type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:MARIE
Last Name:STARKWEATHER
Suffix:
Gender:F
Credentials:RN, MSN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7703 FLOYD CURL DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3901
Mailing Address - Country:US
Mailing Address - Phone:210-450-6120
Mailing Address - Fax:
Practice Address - Street 1:3939 MEDICAL DR
Practice Address - Street 2:SUITE 100
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-2291
Practice Address - Country:US
Practice Address - Phone:210-450-6120
Practice Address - Fax:210-450-6161
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX545835163WM0705X
TXAP109039363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX044401007Medicaid
TX369177YK00Medicare UPIN
TX044401007Medicaid
TX86N164Medicare PIN