Healthcare Provider Details

I. General information

NPI: 1467439596
Provider Name (Legal Business Name): SONYA SCHLOSSTEIN CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2005
Last Update Date: 10/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 TOLL GATE RD
WARWICK RI
02886-2759
US

IV. Provider business mailing address

690 CANTON ST SUITE 325
WESTWOOD MA
02090-2321
US

V. Phone/Fax

Practice location:
  • Phone: 401-738-1516
  • Fax: 401-738-8837
Mailing address:
  • Phone: 781-407-7713
  • Fax: 781-407-0998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number15487
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: