Staley, Nancy

Staley, Nancy is an individual health care provider with primary practice located at 55 Beach St , Westerly RI 02891-2728. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Staley, Nancy can be contacted via phone (401) 475-9140.

Contact Information

Primary practice address
55 Beach St Westerly RI 02891-2728
Phone: (401) 475-9140
Fax: (401) 475-9143
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00286 Rhode Island

Profile Details

NPI number 1891758181
LBN Legal business name Staley, Nancy
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2006
Last updated Mar 25th, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891758181 NPPES
Rhode Island Other 0000027594 BCBS RI
Rhode Island Other 411588 BCBS RI
Rhode Island MEDICAID 9004837 BCBS RI
Rhode Island Other 290000286RI01 BCBS RI
Rhode Island Other 200286 BCBS RI

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