Provider Demographics
NPI:1598127094
Name:STARR, NICOLE C (MD, MPH)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:C
Last Name:STARR
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:C
Other - Last Name:CRAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:8044 MONTGOMERY RD STE 230
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2921
Mailing Address - Country:US
Mailing Address - Phone:513-984-3223
Mailing Address - Fax:
Practice Address - Street 1:8044 MONTGOMERY RD STE 230
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2921
Practice Address - Country:US
Practice Address - Phone:832-353-2880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-23
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.144378207YX0905X
KY56959207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery