Provider Demographics
NPI:1457787004
Name:ADVANCED PRACTICE HOUSECALLS
Entity type:Organization
Organization Name:ADVANCED PRACTICE HOUSECALLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:HAYA
Authorized Official - Last Name:STARR
Authorized Official - Suffix:
Authorized Official - Credentials:GNP/ANP
Authorized Official - Phone:252-955-2418
Mailing Address - Street 1:2506 NASH ST N
Mailing Address - Street 2:D
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27896-1393
Mailing Address - Country:US
Mailing Address - Phone:252-661-0699
Mailing Address - Fax:
Practice Address - Street 1:2506 NASH ST N
Practice Address - Street 2:D
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27896-1393
Practice Address - Country:US
Practice Address - Phone:252-661-0699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-15
Last Update Date:2013-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC206629363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty