Starkman, Mary Vivian

Starkman, Mary Vivian is an individual health care provider with primary practice located at 400 E 3Rd St Essenia Health Duluth Clinic, Duluth MN 55805-1951. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Starkman, Mary Vivian can be contacted via phone (218) 786-8364.

Contact Information

Primary practice address
400 E 3Rd St Essenia Health Duluth Clinic Duluth MN 55805-1951
Phone: (218) 786-8364
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R 106831-3 Minnesota

Profile Details

NPI number 1417291154
LBN Legal business name Starkman, Mary Vivian
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2012
Last updated May 31st, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417291154 NPPES
Michigan MEDICAID 1417291154
Michigan MEDICAID 1417291154
Michigan MEDICAID 1417291154

Popular Providers