Dupre, Starla D

Dupre, Starla D is an individual health care provider with primary practice located at 10511 Golf Course Rd Nw Suite 201, Albuquerque NM 87114-5916. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Dupre, Starla D can be contacted via phone (505) 727-4500.

Contact Information

Primary practice address
10511 Golf Course Rd Nw Suite 201 Albuquerque NM 87114-5916
Phone: (505) 727-4500
Fax: (505) 727-4505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X R34083 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X CNM417 New Mexico

Profile Details

NPI number 1972575793
LBN Legal business name Dupre, Starla D
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Aug 7th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972575793 NPPES
New Mexico MEDICAID 000S6026

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