Provider Demographics
NPI:1366865222
Name:SAITTA, HEATHER (CRNA)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:SAITTA
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 ANDERSON ST
Mailing Address - Street 2:UNIT 4
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-3653
Mailing Address - Country:US
Mailing Address - Phone:508-496-0890
Mailing Address - Fax:
Practice Address - Street 1:42 ANDERSON ST
Practice Address - Street 2:UNIT 4
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-3653
Practice Address - Country:US
Practice Address - Phone:508-496-0890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-29
Last Update Date:2018-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN280228367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered