IndividualActive
Starr Bacon
NPI 1558062117 · Clinical Nurse Specialist · Indianapolis, IN
Provider details
- NPI number
- 1558062117
- Entity type
- Individual
- Primary specialty
- Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 28214711A (IN)
Mailing address
10409 Kira Ct
Indianapolis, IN 46236-7343
Registry dates
- Enumerated
- 2023-03-13
- Last updated
- 2023-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.