Individual provider · Type 1 NPI
Judith Ellen Staib, MA CS APRN
Adult Psychiatric/Mental Health Clinical Nurse Specialist · Farmington, CT
NPI number
1376719500
Active
Practice location
43 Diamond Glen Rd
Farmington, CT 06034-0009
Mailing address
PO Box 9, 43 Diamond Glen Rd
Farmington, CT 06034-0009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | E28693 (CT) |
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0807X | CT001286 (CT) |
| Adult Psychiatric/Mental Health Clinical Nurse Specialist Primary | 364SP0809X | CT001286 (CO) |
Adult Psychiatric/Mental Health Clinical Nurse Specialist: Definition to come...
About NPI 1376719500
Judith Ellen Staib, MA CS APRN's National Provider Identifier is 1376719500, issued on May 7, 2008. The primary taxonomy on file is Adult Psychiatric/Mental Health Clinical Nurse Specialist (364SP0809X), and the practice location is in Farmington, CT. The record was last updated on May 7, 2008.