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NPI Code Detail

MEDICARE: STARMED HEALTHCARE, PLLC

MEDICARE: STARMED HEALTHCARE, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner201762NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699946665
Entity Type Code : Organization
Provider Name (Legal Business Name) : STARMED HEALTHCARE, PLLC
Provider Business Mailing Address
First Line : 8008 PONDEROSA PINE LN
Second Line :
City : CHARLOTTE
State : NC
Zip : 28215-4540
Country : US
Telephone Number : 980-229-1944
Fax Number : 866-611-8122
Provider Business Practice Location Address
First Line : 5100 REAGAN DR
Second Line : STE. #
City : CHARLOTTE
State : NC
Zip : 28206-3190
Country : US
Telephone Number : 704-494-8456
Fax Number : 866-611-8122
Authorized Official
Title or Position : OWNER
Name : TAMARA STARR
Credential : NP
Telephone Number : 980-229-1944
Provider Enumeration Date : 03/18/2008
Last Update Date : 10/04/2010

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Directions to “STARMED HEALTHCARE, PLLC ” Practice Location

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