Staugaard, Carol Ruth

Staugaard, Carol Ruth is an individual health care provider with primary practice located at 800 Howard Ave Yale Physicians' Building, 2Nd Fl, New Haven CT 06519-1369. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Staugaard, Carol Ruth can be contacted via phone (203) 688-4191.

Contact Information

Primary practice address
800 Howard Ave Yale Physicians' Building, 2Nd Fl New Haven CT 06519-1369
Phone: (203) 688-4191
Fax: (203) 737-3456
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 002736 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical 364SM0705X 002736 Connecticut

Profile Details

NPI number 1962485425
LBN Legal business name Staugaard, Carol Ruth
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Oct 17th, 2016 - about 8 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 1962485425 NPPES
Connecticut MEDICAID 004229094

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