Staley, Deborah

Staley, Deborah is an individual health care provider with primary practice located at 357 Hartford Tpke , Vernon CT 06066-4838. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Staley, Deborah can be contacted via phone (860) 871-2102.

Contact Information

Primary practice address
357 Hartford Tpke Vernon CT 06066-4838
Phone: (860) 871-2102
Fax: (860) 870-0890
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 001199 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 001199 Connecticut

Profile Details

NPI number 1386612828
LBN Legal business name Staley, Deborah
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Jun 18th, 2009 - about 15 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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