Charles Staples Jr.
Charles Staples Jr. is a Nurse Practitioner in Watertown, Connecticut. Qualified in 2015, 11 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group and accepts Medicare assignment. Licensed in Connecticut.
- Years since qualifying
- 11
- Licensed in
- CT
- In the registry since
- 2016
Practice location Address checks out
205 Sylvan Lake RdWatertown, CT 06779-1450
Phone: (203) 260-8744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence F1015603 (CT) |
|---|
Record details
| NPI number | 1598122947 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 15, 2016 |
| Last updated in NPPES | January 15, 2016 |
| Mailing address | 205 Sylvan Lake Rd, Watertown, CT 06779-1450 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Northeast Medical Group Inc — 1360 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
Other providers in Watertown
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Kevin Charles King, APRN
380 Main St, Watertown, CT 06795-2260 · (860) 274-8891
-
Melissa Meyer, MSN, APRN, FNP-C
70 Fieldwood Rd, Watertown, CT 06795-3023 · (860) 866-6234
-
Shaina St Pierre, FNP-C
70 Heminway Park Rd, Watertown, CT 06795-2612 · (203) 709-5925