Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 216140 | MA |
N | 363LG0600X | Nurse Practitioner - Gerontology | 216140 | MA |
NPI | 1043287659 |
---|---|
Provider Name | Barbara B Starr |
First Address | Marlborough, MA 01752-3200 |
Second Address | Marlborough, MA 01752-3200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2006 |
Last Update Date | 17/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
NP4277 | BLUE CROSS (01) | MA |
P97376 | (02) |