Provider Demographics
NPI:1811228794
Name:STAPLES, LAQUARDRA (RN)
Entity Type:Individual
Prefix:MRS
First Name:LAQUARDRA
Middle Name:
Last Name:STAPLES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8501 E ALAMEDA AVE
Mailing Address - Street 2:APARTMENT 435
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-6891
Mailing Address - Country:US
Mailing Address - Phone:478-335-8277
Mailing Address - Fax:
Practice Address - Street 1:1501 S POTOMAC ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-5411
Practice Address - Country:US
Practice Address - Phone:303-368-2502
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-17
Last Update Date:2010-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO190325163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse