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Charles Staples JR.
Family Nurse Practitioner in Watertown, Connecticut
NPI 1598122947

Charles Staples JR. is a Family Nurse Practitioner based in Watertown, CT and is specialized in Family. Charles Staples JR. practices in Watertown, CT. The NPI Number for Charles Staples JR. is 1598122947 and holds a License No. F1015603 (Connecticut).

The current practice location address for Charles Staples JR. is 205 Sylvan Lake Rd, Watertown, CT and can be reached out via phone at 203-260-8744.

Location: 205 Sylvan Lake Rd, Watertown, CT, 06779-1450
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598122947
Provider Name
Charles Staples JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
205 Sylvan Lake Rd, Watertown, CT, 06779-1450
Phone Number
203-260-8744
Fax Number
Provider Enumeration Date
01/15/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
205 Sylvan Lake Rd
City
Watertown
State
Connecticut
Zip
06779-1450
Phone Number
203-260-8744
Fax Number
person
Provider Business Mailing Address Details
Address
205 Sylvan Lake Rd
City
Watertown
State
Connecticut
Zip
06779-1450
Phone Number
203-260-8744
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F1015603 (Connecticut)
Definition
Definition to come...
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