Provider Demographics
NPI:1922798958
Name:STARIN, EMILEE JEAN
Entity Type:Individual
Prefix:
First Name:EMILEE
Middle Name:JEAN
Last Name:STARIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:EMILEE
Other - Middle Name:
Other - Last Name:HINRICHS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:422 32ND ST E APT 101
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:ND
Mailing Address - Zip Code:58801-5397
Mailing Address - Country:US
Mailing Address - Phone:509-254-4072
Mailing Address - Fax:
Practice Address - Street 1:422 32ND ST E APT 101
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:ND
Practice Address - Zip Code:58801-5397
Practice Address - Country:US
Practice Address - Phone:509-254-4072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-12
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant