Deborah Staley, APRN is a
Nurse Practitioner - Pediatrics physician based in Vernon, Connecticut. Deborah Staley is licensed to practice in Connecticut (license number 001199) and her current practice location is 357 Hartford Tpke, Vernon, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 871-2102.
NPI number for Deborah Staley is 1386612828 and her current mailing address is Po Box 3249, Vernon, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386612828.
Physician's Profile
| Full Name | Deborah Staley |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 357 Hartford Tpke, Vernon, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1386612828
- Provider Enumeration Date: 03/10/2006
- Last Update Date: 06/18/2009
Medical Identifiers
Medical identifiers for Deborah Staley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386612828 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 001199 (Connecticut) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 001199 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deborah Staley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Deborah Staley, APRN
Po Box 3249,
Vernon, CT 06066-2149
Ph: (860) 896-1422 | Deborah Staley, APRN
357 Hartford Tpke,
Vernon, CT 06066-4838
Ph: (860) 871-2102 |
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