Healthcare Provider Details

I. General information

NPI: 1689658999
Provider Name (Legal Business Name): SARA SEIDEL STIVELMAN CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2005
Last Update Date: 05/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 NORTH ST
PITTSFIELD MA
01201-4109
US

IV. Provider business mailing address

725 NORTH ST
PITTSFIELD MA
01201-4109
US

V. Phone/Fax

Practice location:
  • Phone: 413-447-2555
  • Fax: 413-447-2889
Mailing address:
  • Phone: 413-447-2752
  • Fax: 413-496-6836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN2258097
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: