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NPI Code Detail

MEDICARE: RAVEN MELINA STARR MS, RN, AACNS-AG

MEDICARE: RAVEN MELINA STARR MS, RN, AACNS-AG
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
1163WC0200XCritical Care Medicine Registered Nurse0193214CO
2163WH0200XHome Health Registered Nurse0193214CO
3163WW0000XWound Care Registered Nurse0193214CO
4364SG0600XGerontology Clinical Nurse SpecialistAPN.0992674-CNSCO

General Provider Information

NPI Number : 1922345248
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAVEN MELINA STARR MS, RN, AACNS-AG
Provider Business Mailing Address
First Line : 13199 E MONTVIEW BLVD
Second Line : SUITE 400
City : AURORA
State : CO
Zip : 80045-7202
Country : US
Telephone Number : 303-724-8207
Fax Number :
Provider Business Practice Location Address
First Line : 13199 E MONTVIEW BLVD
Second Line : SUITE 400
City : AURORA
State : CO
Zip : 80045-7202
Country : US
Telephone Number : 303-724-8207
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2013
Last Update Date : 04/09/2019

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