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NPI Code Detail

MEDICARE: MS. AMANDA CARRIE STARR RN

MEDICARE:  MS. AMANDA CARRIE STARR  RN
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
1163W00000XRegistered NurseRN308823OH

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 : 1902095292
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMANDA CARRIE STARR RN
Provider Business Mailing Address
First Line : 5769 FIRWOOD PL
Second Line :
City : COLUMBUS
State : OH
Zip : 43229-3406
Country : US
Telephone Number : 614-987-5062
Fax Number :
Provider Business Practice Location Address
First Line : 5769 FIRWOOD PL
Second Line :
City : COLUMBUS
State : OH
Zip : 43229-3406
Country : US
Telephone Number : 614-987-5062
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2007
Last Update Date : 10/23/2007

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Directions to “ MS. AMANDA CARRIE STARR RN” Practice Location

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