Staley, Deborah
Staley, Deborah is an individual health care provider with primary practice located at 357 Hartford Tpke , Vernon CT 06066-4838. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Staley, Deborah can be contacted via phone (860) 871-2102.Contact Information
Primary practice address
357 Hartford Tpke
Vernon CT 06066-4838
Phone: (860) 871-2102
Fax: (860) 870-0890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 001199 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 001199 | Connecticut |
Profile Details
| NPI number | 1386612828 |
|---|---|
| LBN Legal business name | Staley, Deborah |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Jun 18th, 2009 - about 17 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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