Active NPIIndividual providerSole proprietor

Mrs. Judith E Staib, MA CS APRN

Clinical Nurse Specialist, Psych/Mental Health, Adult in Farmington, Connecticut

NPI Number1376719500
Practice location
43 Diamond Glen RD, Farmington, CT 06034-0009
Fax
—
Last updated
May 7, 2008

Judith Ellen Staib is a Clinical Nurse Specialist, Psych/Mental Health, Adult based in Farmington, CT. Judith Ellen Staib practices in Farmington, CT and has the professional credentials of MA CS APRN. The NPI Number for Judith Ellen Staib is 1376719500 and holds a License No. E28693 (CT). The current practice location address for Judith Ellen Staib is 43 Diamond Glen RD, Farmington, CT 06034-0009 and can be reached out via phone at 860-677-2471.

Provider Profile Details

NPI Number
1376719500
Provider Name
Judith Ellen Staib
Credential
MA CS APRN
Provider Entity Type
Individual
Gender
Female
Address
43 Diamond Glen RD, Farmington, CT 06034-0009
Phone Number
860-677-2471
Sole Proprietor
Yes
Provider Enumeration Date
May 7, 2008
Last Update Date
May 7, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
43 Diamond Glen RD
Farmington, CT 06034-0009
Zip
06034-0009
Phone Number
860-677-2471
Farmington, CT 06034Get directions →

Provider Business Mailing Address Details

Address
Po Box 9
43 Diamond Glen RD
Farmington, CT 06034-0009
City
Farmington
State
CT
Zip
06034-0009
Phone Number
860-677-2471

License Information

License Number (1)
E28693
License State (1)
CT
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
CT001286
License State (2)
CT
License Number (3)
CT001286
License State (3)
CO
Taxonomy (3)
Clinical Nurse Specialist, Psych/Mental Health, Adult · 364SP0809X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Judith E Staib, MA CS APRN?

The NPI number of Mrs. Judith E Staib, MA CS APRN is 1376719500. It was assigned on May 7, 2008 and is currently active in the NPPES registry.

What is the specialty of Mrs. Judith E Staib, MA CS APRN?

Mrs. Judith E Staib, MA CS APRN is registered under the primary taxonomy Clinical Nurse Specialist, Psych/Mental Health, Adult (code 364SP0809X), licensed in CT under license number E28693.

Where does Mrs. Judith E Staib, MA CS APRN practice?

The practice location is 43 Diamond Glen RD, Farmington, CT 06034-0009. The office can be reached at 860-677-2471 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376719500 directly on the NPPES registry website.

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