CHARLES STAPLES JR.


Address: 205 Sylvan Lake Rd, Watertown, CT 06779-1450
Phone: 2032608744

CHARLES STAPLES JR. (NPI# 1598122947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598122947
Entity Type Individual
Full Name CHARLES STAPLES JR.
Practice Address 205 Sylvan Lake Rd
Watertown
CT 06779-1450
Practice Telephone 2032608744
Mailing Telephone 2032608744
Enumeration Date 2016-01-15
Last Update Date 2016-01-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
F1015603 CT Physician Assistants & Advanced Practice Nursing Providers

Other Providers CHARLES STAPLES

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1982966537 Charles Zachary Staples Dentist 6061 Pinnacle Pkwy, Covington, LA 70433-9193 2012-06-11
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Office Location

Street Address 205 SYLVAN LAKE RD
City WATERTOWN
State CT
Zip Code 06779-1450

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1003153297 Heather C Malsin Speech-Language Pathologist 900 Main Street, Oakville, CT 06779 2013-01-09
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043810013 Alexa L Carolan Nurse Practitioner 24 Penny Ln, Watertown, CT 06795-1734 2020-10-29
1104433820 Jennifer Blaze Laclair Nurse Practitioner 26561 State Route 3, Watertown, NY 13601-1749 2020-09-27
1144839549 Kristin Nicole Hill Nurse Practitioner 2813 Bell Rd, Watertown, TN 37184-4716 2020-07-31
1811505738 Ashley Swan Nurse Practitioner 1571 Washington St Ste 107, Watertown, NY 13601-9304 2020-07-16
1518591619 Kelly A Blanchette Nurse Practitioner 204 Arsenal St Apt 489, Watertown, MA 02472-3092 2020-02-27
1215586854 Ashley Rydquist Nurse Practitioner 926 N 4th St, Watertown, WI 53098-2915 2019-09-06
1184133738 Melissa Mcintyre Nurse Practitioner 70 Fieldwood Rd, Watertown, CT 06795-3023 2017-09-27
1346783669 Nagma Kc Nurse Practitioner 263 School St, Watertown, MA 02472-1412 2016-11-18
1477007730 Neangkanika Chea Nurse Practitioner 2 Repton Place, Apt 2204, Watertown, MA 02472 2016-08-04
1932495876 Christine Clara Buckley Nurse Practitioner 826 Washington St Ste 106, Watertown, NY 13601-4071 2011-06-20
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Competitor

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City WATERTOWN
Zip Code 06779

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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