Charles Staples Jr.
Nurse Practitioner, Family in Watertown, Connecticut
1598122947- Practice location
- 205 Sylvan Lake RD, Watertown, CT 06779-1450
- Phone
- 203-260-8744
- Fax
- —
- Last updated
- January 15, 2016
Charles Staples is a Nurse Practitioner, Family based in Watertown, CT. Charles Staples practices in Watertown, CT. The NPI Number for Charles Staples is 1598122947 and holds a License No. F1015603 (CT). The current practice location address for Charles Staples is 205 Sylvan Lake RD, Watertown, CT 06779-1450 and can be reached out via phone at 203-260-8744.
Provider Profile Details
- NPI Number
- 1598122947
- Provider Name
- Charles Staples
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 205 Sylvan Lake RD, Watertown, CT 06779-1450
- Phone Number
- 203-260-8744
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 15, 2016
- Last Update Date
- January 15, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 205 Sylvan Lake RD
Watertown, CT 06779-1450 - City
- Watertown
- State
- Connecticut
- Zip
- 06779-1450
- Phone Number
- 203-260-8744
Provider Business Mailing Address Details
- Address
- 205 Sylvan Lake RD
Watertown, CT 06779-1450 - City
- Watertown
- State
- CT
- Zip
- 06779-1450
- Phone Number
- 203-260-8744
License Information
- License Number
- F1015603
- License State
- CT
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Charles Staples Jr.?
The NPI number of Charles Staples Jr. is 1598122947. It was assigned on January 15, 2016 and is currently active in the NPPES registry.
What is the specialty of Charles Staples Jr.?
Charles Staples Jr. is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number F1015603.
Where does Charles Staples Jr. practice?
The practice location is 205 Sylvan Lake RD, Watertown, CT 06779-1450. The office can be reached at 203-260-8744 (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 1598122947 directly on the NPPES registry website.