Provider Demographics
NPI:1326923392
Name:FORBES-STARKS, MARTHA ELENA
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:ELENA
Last Name:FORBES-STARKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARTHA
Other - Middle Name:ELENA
Other - Last Name:FOBES-STARKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6419 FAIRPLEX ST
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89086-2002
Mailing Address - Country:US
Mailing Address - Phone:925-207-0976
Mailing Address - Fax:
Practice Address - Street 1:6419 FAIRPLEX ST
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89086-2002
Practice Address - Country:US
Practice Address - Phone:925-207-0976
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide