Provider / Organization | NPI | Date Certified |
---|---|---|
JOHN EDWARD STAADS | 1518540129 | 2021-05-02 |
John Edward Staads is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1518540129. Registration indicates John Edward Staads is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers)
Entity Type | Individual |
Provider Name | John Edward Staads DNP |
Practice Office Address | 650 JOEL DR FORT CAMPBELL, KY US |
Practice Office Telephone | 2707988400 |
Mailing Address | 650 JOEL DR FORT CAMPBELL, KY 422235318 US |
Business Telephone | 2707988400 |
Code | Practice | License No State |
---|---|---|
163W00000X PRIMARY | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | 0001291345
VA |