Individual provider · Type 1 NPI

Starr Bacon

Clinical Nurse Specialist · Indianapolis, IN

NPI number 1558062117 Active

Practice location

1500 N Ritter Ave
Indianapolis, IN 46219-3027

Mailing address

10409 Kira Ct
Indianapolis, IN 46236-7343

Specialties and licenses

TaxonomyCodeLicense
Clinical Nurse Specialist Primary 364S00000X28214711A (IN)

Clinical Nurse Specialist: A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.

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About NPI 1558062117

Starr Bacon's National Provider Identifier is 1558062117, issued on Mar 13, 2023. The primary taxonomy on file is Clinical Nurse Specialist (364S00000X), and the practice location is in Indianapolis, IN. The record was last updated on Mar 13, 2023.