Healthcare Provider Details

I. General information

NPI: 1710268230
Provider Name (Legal Business Name): MICHELLE BARBARA DROWN CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MICHELLE BARABARA BECHARD

II. Dates (important events)

Enumeration Date: 08/30/2011
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 OLD ROAD TO 9 ACRE COR
CONCORD MA
01742-4159
US

IV. Provider business mailing address

1436 ARBORETUM WAY
BURLINGTON MA
01803-3840
US

V. Phone/Fax

Practice location:
  • Phone: 978-287-3162
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number087351
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: