Individual
JOHN EDWARD STAADS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001291345
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024181620
VA
Other
Enumeration date
05/02/2021
Last updated
04/18/2025
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