Staab, Carly Gene

Staab, Carly Gene is an individual health care provider with primary practice located at 982 E Main St , Bridgeport CT 06608-1913. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Staab, Carly Gene can be contacted via phone (802) 233-1490.

Contact Information

Primary practice address
982 E Main St Bridgeport CT 06608-1913
Phone: (802) 233-1490
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5819 Connecticut

Profile Details

NPI number 1801205463
LBN Legal business name Staab, Carly Gene
Credentials APRN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2014
Last updated Aug 7th, 2014 - about 12 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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