Provider Demographics
NPI:1770868085
Name:STARR, MONICA ANN (APRN)
Entity Type:Individual
Prefix:MS
First Name:MONICA
Middle Name:ANN
Last Name:STARR
Suffix:
Gender:F
Credentials:APRN
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Mailing Address - Street 1:1 BRADLEY RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:WOODBRIDGE
Mailing Address - State:CT
Mailing Address - Zip Code:06525-2285
Mailing Address - Country:US
Mailing Address - Phone:203-907-5157
Mailing Address - Fax:844-697-5517
Practice Address - Street 1:1 BRADLEY RD
Practice Address - Street 2:SUITE 206
Practice Address - City:WOODBRIDGE
Practice Address - State:CT
Practice Address - Zip Code:06525-2285
Practice Address - Country:US
Practice Address - Phone:203-907-5157
Practice Address - Fax:844-697-5517
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-18
Last Update Date:2015-07-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT4844363L00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner