Individual provider · Type 1 NPI

Eliza Staley

Psychiatric/Mental Health Nurse Practitioner · Bethesda, MD

NPI number 1013253558 Active · reactivated Jul 31, 2023

Practice location

4520 E West Hwy Ste 775
Bethesda, MD 20814-0066

Mailing address

9701 Apollo Dr Ste 100
Largo, MD 20774-4785

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XR250258 (MD)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1013253558

Eliza Staley's National Provider Identifier is 1013253558, issued on Jan 2, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bethesda, MD. The record was last updated on Dec 20, 2023.