MEDICARE: MS. NANCY STALEY PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	PA00286	RI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0000027594	OTHER	RI	BCBS RI
2	411588	OTHER	RI	BLUE CHIP RI
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	290000286RI01	OTHER	RI	ANTHEM CT
5	200286	OTHER	CT	CONNECTICARE

General Provider Information

NPI Number	:	1891758181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NANCY STALEY PA-C

Provider Business Mailing Address
First Line	:	25 CRESTVIEW DR
Second Line	:
City	:	WESTERLY
State	:	RI
Zip	:	02891-2939
Country	:	US
Telephone Number	:	508-832-7118
Fax Number	:	508-832-4758

Provider Business Practice Location Address
First Line	:	55 BEACH ST
Second Line	:
City	:	WESTERLY
State	:	RI
Zip	:	02891-2728
Country	:	US
Telephone Number	:	401-475-9140
Fax Number	:	401-475-9143

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2006
Last Update Date	:	03/25/2010

Similar Medicare Providers

1114680220 — CHILDRENS DENTISTRY OF RI LLC
Practice Location Address:

130 GRANITE ST STE C
WESTERLY, RI
02891-2461

Practice Phone: 401-596-8720
Practice Fax:

1750152872 — MACYOP LLC
Practice Location Address:

1 CHAMBER WAY
WESTERLY, RI
02891-2670

Practice Phone: 860-333-5558
Practice Fax: 860-333-1342

1205830700 — ANNE M. GARVEY M.D.
Practice Location Address:

81 BEACH ST
WESTERLY, RI
02891-2784

Practice Phone: 401-596-3229
Practice Fax: 401-596-0850

1619972064 — DR. DAVID JOSEPH SICILIANO DC
Practice Location Address:

110 HIGH ST
WESTERLY, RI
02891-1864

Practice Phone: 401-596-4394
Practice Fax:

1184622714 — JON STEPHEN SOLIS MD
Practice Location Address:

17 WELLS ST , SUITE 203
WESTERLY, RI
02891-2923

Practice Phone: 401-348-0660
Practice Fax: 401-348-3090

1902805591 — CHRISTOPHER M HUTCHINS MD
Practice Location Address:

101 AIRPORT RD.
WESTERLY, RI
02891

Practice Phone: 401-596-0259
Practice Fax: 401-348-5934

Directions to “ MS. NANCY STALEY PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.