Active NPIIndividual provider

Carly G Staab, APRN, FNP-BC

Nurse Practitioner, Family in Bridgeport, Connecticut

NPI Number1801205463
Practice location
982 E Main St, Bridgeport, CT 06608-1913
Fax
—
Last updated
August 7, 2014

Carly Gene Staab is a Nurse Practitioner, Family based in Bridgeport, CT. Carly Gene Staab practices in Bridgeport, CT and has the professional credentials of APRN, FNP-BC. The NPI Number for Carly Gene Staab is 1801205463 and holds a License No. 5819 (CT). The current practice location address for Carly Gene Staab is 982 E Main St, Bridgeport, CT 06608-1913 and can be reached out via phone at 802-233-1490.

Provider Profile Details

NPI Number
1801205463
Provider Name
Carly Gene Staab
Credential
APRN, FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
982 E Main St, Bridgeport, CT 06608-1913
Phone Number
802-233-1490
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
August 7, 2014
Last Update Date
August 7, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
982 E Main St
Bridgeport, CT 06608-1913
Zip
06608-1913
Phone Number
802-233-1490
Bridgeport, CT 06608Get directions →

Provider Business Mailing Address Details

Address
982 E Main St
Bridgeport, CT 06608-1913
City
Bridgeport
State
CT
Zip
06608-1913

License Information

License Number
5819
License State
CT
Taxonomy
Nurse Practitioner, Family · 363LF0000X · 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 Carly G Staab, APRN, FNP-BC?

The NPI number of Carly G Staab, APRN, FNP-BC is 1801205463. It was assigned on August 7, 2014 and is currently active in the NPPES registry.

What is the specialty of Carly G Staab, APRN, FNP-BC?

Carly G Staab, APRN, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 5819.

Where does Carly G Staab, APRN, FNP-BC practice?

The practice location is 982 E Main St, Bridgeport, CT 06608-1913. The office can be reached at 802-233-1490 (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 1801205463 directly on the NPPES registry website.

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