Individual
CAROL RUTH STAUGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
800 HOWARD AVE, YALE PHYSICIANS' BUILDING, 2ND FL, NEW HAVEN, CT 06519-1369
(203) 688-4191
(203) 737-3456
Mailing address
20 YORK ST, YALE PHYSICIANS' BUILDING, 2ND FL, NEW HAVEN, CT 06510-3220
(203) 200-6622
(203) 737-2424
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
002736
CT
364SM0705X
Medical-Surgical Clinical Nurse Specialist
002736
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004229094
—
CT
Enumeration date
11/29/2005
Last updated
10/17/2016
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