Individual provider · Type 1 NPI

Carly Gene Staab, APRN, FNP-BC

Family Nurse Practitioner · Bridgeport, CT

NPI number 1801205463 Active

Practice location

982 E Main St
Bridgeport, CT 06608-1913

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X5819 (CT)

Family Nurse Practitioner: Definition to come...

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About NPI 1801205463

Carly Gene Staab, APRN, FNP-BC's National Provider Identifier is 1801205463, issued on Aug 7, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bridgeport, CT. The record was last updated on Aug 7, 2014.