Doctor Name: | NORMAN ANDREW STARKWEATHER |
NPI Number: | 1184787335 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RN |
License Number: | 523781 |
Business Practice Address: | 5433 Borgase Ln Clay, NY - 130418916 |
Business Phone Number: | 3157512195 |
Business Fax Number: | |
Mailing Address: | 5433 Borgase Ln, CLAY |
State: | NY |
Postal Code: | 130418916 |
Phone Number: | 3157512195 |
Fax Number: | |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WE0003X |
License Number: | 523781 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Emergency |
Taxonomy Definition: |