Misty Starry, LPN
Licensed Practical Nurse in Plymouth Meeting, PA. Individual provider (NPI-1).
NPI number1073802476
StatusActive
Last updated in NPPESApr 6, 2011
Details
- NPI
- 1073802476
- Entity type
- Individual (NPI-1)
- Name
- Misty Starry
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2011
- Last updated
- Apr 6, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN256758L | PA | Yes |
Practice location
2250 Hickory RdPlymouth Meeting, PA 19462-1047
Phone 610-834-1122
Mailing address
2250 Hickory RdPlymouth Meeting, PA 19462-1047
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