Healthcare Provider Details

I. General information

NPI: 1982194809
Provider Name (Legal Business Name): SARA ELIZABETH WILLIAMS CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARA ELIZABETH WOJCIECHOWSKI CRNA

II. Dates (important events)

Enumeration Date: 05/16/2018
Last Update Date: 07/19/2023
Certification Date: 07/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 S GRANT AVE FL 3
COLUMBUS OH
43215-4701
US

IV. Provider business mailing address

111 S GRANT AVE FL 3
COLUMBUS OH
43215-4701
US

V. Phone/Fax

Practice location:
  • Phone: 145-669-8716
  • Fax:
Mailing address:
  • Phone: 440-668-7987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN629841
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN.CRNA.019909
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN629841
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: