Doctor Name: | DEBRA K. STARR |
NPI Number: | 1417177478 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN, BC |
License Number: | 122682 |
Business Practice Address: | 354 W Boylston St Suite 224 West Boylston, MA - 015832373 |
Business Phone Number: | 5087560470 |
Business Fax Number: | 5087560471 |
Mailing Address: | 354 W Boylston St, Suite 224 WEST BOYLSTON |
State: | MA |
Postal Code: | 015832373 |
Phone Number: | 5087560470 |
Fax Number: | 5087560471 |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 09/06/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0810X |
License Number: | 122682 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health, Child & Family |
Taxonomy Definition: |