Healthcare Provider Details

I. General information

NPI: 1134175235
Provider Name (Legal Business Name): NANCY MARIKA STEARNS A.P.R.N C.R.N.A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NANCY MARIKA BANFFY CRNA APRN

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 06/14/2023
Certification Date: 06/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 LITCHFIELD ST
TORRINGTON CT
06790-6679
US

IV. Provider business mailing address

21 HIGHLAND ROAD
SOUTH KENT CT
06785
US

V. Phone/Fax

Practice location:
  • Phone: 860-496-6580
  • Fax:
Mailing address:
  • Phone: 860-927-1900
  • Fax: 860-927-1900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number002870
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: