Individual
MRS. ANGELA STAAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP GNP
Contact information
Practice address
371 NC HWY 65, WENTWORTH, NC 27375
(336) 342-8216
(336) 342-8128
Mailing address
371 NC HWY 65, WENTWORTH, NC 27375
(336) 342-8216
(336) 342-8128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
900005
NC
363LA2200X
Adult Health Nurse Practitioner
900005
NC
363LF0000X
Family Nurse Practitioner
900005
NC
363LG0600X
Gerontology Nurse Practitioner
900005
NC
363LP0200X
Pediatric Nurse Practitioner
900005
NC
363LP2300X
Primary Care Nurse Practitioner
900005
NC
363LW0102X
Women's Health Nurse Practitioner
900005
NC
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
900005
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58220
REGISTRATION NUMBER
NC
01
—
900005
LICENSE
NC
Enumeration date
10/11/2006
Last updated
09/11/2025
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