Healthcare Provider Details

I. General information

NPI: 1467943001
Provider Name (Legal Business Name): SARENA NICOLE LESEM CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2018
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 MILL ST STE 204
ARLINGTON MA
02476-4738
US

IV. Provider business mailing address

330 MOUNT AUBURN ST PARSONS 2
CAMBRIDGE MA
02138-5597
US

V. Phone/Fax

Practice location:
  • Phone: 781-646-1043
  • Fax: 781-646-1935
Mailing address:
  • Phone: 781-646-1043
  • Fax: 781-646-1935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberRN10015603
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: