Stagg, Emily Kathryn

Stagg, Emily Kathryn is an individual health care provider with primary practice located at 71 Haynes St , Manchester CT 06040-4131. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Stagg, Emily Kathryn can be contacted via phone (860) 533-3494.

Contact Information

Primary practice address
71 Haynes St Manchester CT 06040-4131
Phone: (860) 533-3494
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 03277675 Connecticut
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X 092976 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704 Connecticut

Profile Details

NPI number 1770861007
LBN Legal business name Stagg, Emily Kathryn
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2011
Last updated Dec 9th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770861007 NPPES
Connecticut MEDICAID 008037446

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