National Provider Identifier
Sue E. Staley
Sue E. Staley is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Canandaigua, NY and a listed phone number of (585) 396-6071.
Profile Overview
- NPI
- 1003918400
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- September 05, 2006
- Last Updated
- December 13, 2013
Practice Location
- 350 Parrish St
- Canandaigua, NY 14424-1731
Phone: (585) 396-6071
Mailing Address
- 410 Ryan Way
- Avon, NY 14414-1462
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
Full Record
- NPI
- 1003918400
- Entity Type
- Individual
- Last Name
- Staley
- First Name
- Sue
- Middle Name
- E.
- Mailing Street Address
- 410 Ryan Way
- Mailing City
- Avon
- Mailing State
- NY
- Mailing ZIP Code
- 14414-1462
- Mailing Country
- US
- Mailing Phone
- (585) 438-4048
- Practice Street Address
- 350 Parrish St
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1731
- Practice Country
- US
- Practice Phone
- (585) 396-6071
- Enumeration Date
- September 05, 2006
- Last Updated
- December 13, 2013
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X)