Healthcare Provider Details

I. General information

NPI: 1225020290
Provider Name (Legal Business Name): STARR L CARTRETT CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 09/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1261 S TAMIAMI TRL
SARASOTA FL
34239-2219
US

IV. Provider business mailing address

1775 FIESTA DR
SARASOTA FL
34231-3325
US

V. Phone/Fax

Practice location:
  • Phone: 941-366-2360
  • Fax:
Mailing address:
  • Phone: 228-424-1839
  • Fax: 941-924-5824

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberCRNA000264
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: