Healthcare Provider Details

I. General information

NPI: 1336655984
Provider Name (Legal Business Name): LAURA ANN STARKEY FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2017
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5264 LEE RD
MAPLE HEIGHTS OH
44137-1232
US

IV. Provider business mailing address

5264 LEE RD
MAPLE HEIGHTS OH
44137-1232
US

V. Phone/Fax

Practice location:
  • Phone: 216-294-4440
  • Fax:
Mailing address:
  • Phone: 216-294-4440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP.CNP.021846
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: