Provider Demographics
NPI:1790936649
Name:STARR, SUSAN N (NP, CNS)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:N
Last Name:STARR
Suffix:
Gender:F
Credentials:NP, CNS
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3285 SKYPARK DR
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-5004
Mailing Address - Country:US
Mailing Address - Phone:310-750-3300
Mailing Address - Fax:310-379-0437
Practice Address - Street 1:3285 SKYPARK DR
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5004
Practice Address - Country:US
Practice Address - Phone:310-750-3300
Practice Address - Fax:310-379-0437
Is Sole Proprietor?:No
Enumeration Date:2008-10-08
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA3032364SX0200X
CA568623363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No364SX0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistOncology