Individual
ERICA STAAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
125 BAY VIEW AVE, RIVERSIDE, RI 02915-4955
(401) 438-3706
Mailing address
265 PARK ST, NORTH ATTLEBORO, MA 02760-1232
(508) 838-5441
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN46672
RI
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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