Provider / Organization | NPI | Date Certified |
---|---|---|
ABBY MICHELLE STARSTROM | 1316910110 | 2024-01-07 |
Abby Michelle Starstrom is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1316910110. Registration indicates Abby Michelle Starstrom is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Adult Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Adult Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
Entity Type | Individual |
Provider Name | Mrs. Abby Michelle Starstrom ARNP |
Practice Office Address | 2655 DALLAS HWY SW STE 340 MARIETTA, GA US |
Practice Office Telephone | 6787979800 |
Mailing Address | 1354 PEPPERGRASS TRL NW ACWORTH, GA 301017875 US |
Business Telephone | 9042378456 |
Code | Practice | License No State |
---|---|---|
363LA2200X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Adult Health All Other Specialties & Provider Types Nurse Practitioner Adult Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | RN234946
GA |