MEDICARE: MAUREEN E STARNES CPNP

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
1	363LP0200X	Pediatric Nurse Practitioner	RN159717	GA

Other Identifiers

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

General Provider Information

NPI Number	:	1316095821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAUREEN E STARNES CPNP

Provider Business Mailing Address
First Line	:	1 BALTIMORE PL NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30308-2116
Country	:	US
Telephone Number	:	404-620-9052
Fax Number	:	404-393-3739

Provider Business Practice Location Address
First Line	:	1 BALTIMORE PL NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30308-2116
Country	:	US
Telephone Number	:	404-454-9715
Fax Number	:	404-393-3739

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	03/01/2019

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Directions to “ MAUREEN E STARNES CPNP” Practice Location

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