NPI 1093138638

Dwana M Staples

Practitioner Case Manager/Care Coordinator Bradenton, FL

Practice location

Address: 5325 26th St W, Bradenton, FL 34207-3012
Phone: (941) 708-8500
Fax: (941) 708-8503
Mailing address: 700 8th Ave W Suite 101, Palmetto, FL 34221-4737

Registered specialties (2)

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Counselor

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

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Registry record

NPI: 1093138638
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Feb 2014
Record last updated: 22 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.