Individual
MRS. ANN STAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
700 WILLOW ST, VINCENNES, IN 47591-1028
(812) 882-5220
Mailing address
1160 E SAINT CLAIR ST, VINCENNES, IN 47591-4853
(812) 885-3106
(812) 885-8499
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28144315A
IN
363L00000X
Nurse Practitioner
Primary
71004134A
IN
363LF0000X
Family Nurse Practitioner
71004134A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201107010
—
IN
01
—
P01724117
RR MEDICARE
IN
Enumeration date
09/16/2012
Last updated
03/18/2021
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