MRS. JUDITH ELLEN STAIB MA CS APRN NPI 1376719500

NPI Information

NPI: 1376719500
Provider Name: MRS. JUDITH ELLEN STAIB, MA CS APRN
Classification: Clinical Nurse Specialist - 364SP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

Address:
43 DIAMOND GLEN RD
FARMINGTON, CT
ZIP 06034
Phone: (860) 677-2471
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MRS. Judith Ellen Staib, MA CS APRN is a psychiatric/mental health and adult clinical nurse specialist in Farmington, CT. MRS. Judith Ellen Staib, MA CS APRN NPI is 1376719500. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

43 DIAMOND GLEN RD
FARMINGTON, CT
ZIP 06034-009
Phone: (860) 677-2471

The enumeration date for this NPI number is 5/7/2008 and was last updated on 5/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		E28693	CONNECTICUT	No
2	364SP0807X	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Adolescent	CT001286	CONNECTICUT	No
3	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	CT001286	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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