IndividualActive
Judith Staib, MA CS APRN
NPI 1376719500 · Adult Psychiatric/Mental Health Clinical Nurse Specialist · Farmington, CT
Provider details
- NPI number
- 1376719500
- Entity type
- Individual
- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MA CS APRN
- Sex
- Female
- Sole proprietor
- Yes
- License
- E28693 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist364SP0807XLicense CT001286 (CT)
Physician Assistants & Advanced Practice Nursing Providers
Practice location
43 Diamond Glen Rd
Farmington, CT 06034-0009
Phone: (860) 677-2471
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 9
Farmington, CT 06034-0009
Registry dates
- Enumerated
- 2008-05-07
- Last updated
- 2008-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.