Provider Demographics
NPI:1811199078
Name:STARNER, TAMRA MICHELLE (CNP)
Entity Type:Individual
Prefix:MRS
First Name:TAMRA
Middle Name:MICHELLE
Last Name:STARNER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2515 W TEMPERANCE RD
Mailing Address - Street 2:
Mailing Address - City:TEMPERANCE
Mailing Address - State:MI
Mailing Address - Zip Code:48182-9429
Mailing Address - Country:US
Mailing Address - Phone:734-243-3420
Mailing Address - Fax:
Practice Address - Street 1:1397 N MONROE ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48162-5360
Practice Address - Country:US
Practice Address - Phone:734-243-3420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704218986363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner