Healthcare Provider Details

I. General information

NPI: 1649895905
Provider Name (Legal Business Name): SARA CULVER CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2020
Last Update Date: 11/11/2022
Certification Date: 11/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 CEDAR ST
NEW HAVEN CT
06510-3206
US

IV. Provider business mailing address

432 CENTRAL AVE FL 1
NEW HAVEN CT
06515-2208
US

V. Phone/Fax

Practice location:
  • Phone: 203-432-4771
  • Fax:
Mailing address:
  • Phone: 203-915-7663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number473
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: