Nurse Practitioner, Family
STAR BUMBANAC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1205212289 · enumerated 2015-08-03 · record updated 2024-05-10. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 1001 WEST ST, CARTHAGE, NY, 13619-9703 (734) 793-6140 Fax (734) 402-0254 Google Maps Apple Maps OpenStreetMap
- Practice location 1001 WEST ST, CARTHAGE, NY, 13619-9703 (734) 793-6140 Fax (734) 402-0254 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner 363L00000X · License 339827 NY
- Nurse Practitioner 363L00000X · License 209027342 IL
- Nurse Practitioner 363L00000X · License 71014684A IN
- Nurse Practitioner 363L00000X · License 4704380462 MI
- Nurse Practitioner 363L00000X · License APRN.CNP.0030868 OH
- Nurse Practitioner 363L00000X · License 14414 IN
- Nurse Practitioner 363L00000X · License SP029531 PA
- Nurse Practitioner, Family 363LF0000X · Primary · License 11014087 FL
In this directory
Locations and evidence
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Practice location
CARTHAGE, NY, 136199703
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.