Organization
STAR BEHAVIORAL HEALTH, PLLC
Active
Other names
star health
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA A RUPPEL PMHNP (NURSE PRACTITIONER/CEO)
(540) 512-9754
Entity
Organization
Contact information
Practice address
3505 BRAMBLETON AVE, ROANOKE, VA 24018-6521
(540) 512-9754
(540) 512-9148
Mailing address
3505 BRAMBLETON AVE, ROANOKE, VA 24018-6521
(540) 512-9754
(540) 512-9148
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992868657
—
VA
Enumeration date
11/05/2018
Last updated
04/06/2023
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