Healthcare Provider Details

I. General information

NPI: 1588113435
Provider Name (Legal Business Name): ASHLEY ARLEEN STARNES FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY ARLEEN CASTEEL

II. Dates (important events)

Enumeration Date: 10/03/2016
Last Update Date: 10/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 N ALLEN ST
ANNAPOLIS MO
63620-8778
US

IV. Provider business mailing address

110 S 2ND ST
ELLINGTON MO
63638-9400
US

V. Phone/Fax

Practice location:
  • Phone: 573-598-4213
  • Fax: 573-598-4602
Mailing address:
  • Phone: 573-663-2313
  • Fax: 573-663-2441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2016035065
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: