Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | RN220483 | GA |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 220483 | GA |
NPI | 1518508498 |
---|---|
Provider Name | Starla Windsor Chambers |
First Address | Brentwood, TN 37027-4525 |
Second Address | Augusta, GA 30909-6521 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2019 |
Last Update Date | 04/12/2020 |