Staib, Judith Ellen

Staib, Judith Ellen is an sole proprietor health care provider with primary practice located at 43 Diamond Glen Rd , Farmington CT 06034-0009. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Staib, Judith Ellen can be contacted via phone (860) 677-2471.

Contact Information

Primary practice address
43 Diamond Glen Rd Farmington CT 06034-0009
Phone: (860) 677-2471
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X E28693 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent 364SP0807X CT001286 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X CT001286 Colorado

Profile Details

NPI number 1376719500
LBN Legal business name Staib, Judith Ellen
Credentials MA CS APRN
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2008
Last updated May 7th, 2008 - about 17 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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