Judith Ellen Staib MA CS APRN

NPI 1376719500 - Registered Nurse - 163W00000X

NPI Details
NPI 1376719500
Gender Female
Enumeration Date 05/07/2008
Last Updated 05/07/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
43 DIAMOND GLEN RD
FARMINGTON CT, 06034-0009, US
Phone (860) 677-2471
Fax
Business Location
PO BOX 9
43 DIAMOND GLEN RD
FARMINGTON CT, 06034-0009, US
Phone (860) 677-2471
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Connecticut
License Number E28693
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According to our database, Mrs. Judith Ellen Staib MA CS APRN NPI is 1376719500, taxonomy code is 163W00000X and license number is E28693, license state is located at Connecticut. Judith Ellen Staib MA CS APRN physically located at 43 Diamond Glen Rd, Farmington CT, 06034-0009. NPI Number Judith Ellen Staib MA CS APRN has the Individual type.

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1376719500 NPI number is provided on an as is basis without warranty of any kind. 1376719500 is maintained by the National Plan & Provider Enumeration System. The contents of Judith Ellen Staib MA CS APRN are for informational purposes only.