Lee Ellen Starr

Individual provider Active NPI Case Management Registered Nurse · Vassar, MI

NPI 1427725985 · NPPES record last updated Aug 24, 2021

Key facts

NPI
1427725985
Entity type
Individual (NPI type 1)
Primary specialty
Case Management Registered Nurse 163WC0400X
License
4704198083 (MI)
Practice address
6940 Caine Rd
Vassar, MI 48768-9221
Phone
(989) 325-6070
NPI assigned
Aug 24, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4704198083MIMDCase Management Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 4704198083 MI Yes

Addresses

Primary practice location

6940 Caine Rd
Vassar, MI 48768-9221

Mailing address

6940 Caine Rd
Vassar, MI 48768-9221
Phone (989) 325-6070

Other providers in Vassar, MI

All providers in Vassar, MI · Case Management Registered Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.