Healthcare Provider Details

I. General information

NPI: 1841396629
Provider Name (Legal Business Name): ANGELA M CARIGNAN CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 01/23/2023
Certification Date: 01/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 STANIFORD ST C/O MA ANESTHESIA CORP.
BOSTON MA
02115
US

IV. Provider business mailing address

PO BOX 372 MASSACHUSETTS ANESTHESIA CORP.
STOUGHTON MA
02072
US

V. Phone/Fax

Practice location:
  • Phone: 781-341-3966
  • Fax: 781-341-8269
Mailing address:
  • Phone: 603-224-4776
  • Fax: 603-228-2113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number024420-23-11
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number260207
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number024420-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: