Provider Demographics
NPI:1861480105
Name:STARKE, DONNA CARTER (ARNP)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:CARTER
Last Name:STARKE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1905 SHARON RD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-4427
Mailing Address - Country:US
Mailing Address - Phone:850-422-0470
Mailing Address - Fax:
Practice Address - Street 1:STUDENT HEALTH SERVICE 116 FOOTE-HILYER ADM. CENTER
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32307
Practice Address - Country:US
Practice Address - Phone:850-599-3777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 1806082363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health