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
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1770861007 | NPPES |
Connecticut | MEDICAID | 008037446 |
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