Provider Demographics
NPI:1558591610
Name:BLADEN, SARAH JAYNE (CRNA)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:JAYNE
Last Name:BLADEN
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 1:88 MCGREGOR ST
Mailing Address - Street 2:SUITE 303
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03102-3750
Mailing Address - Country:US
Mailing Address - Phone:603-647-9325
Mailing Address - Fax:603-647-2453
Practice Address - Street 1:88 MCGREGOR ST
Practice Address - Street 2:SUITE 303
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102-3750
Practice Address - Country:US
Practice Address - Phone:603-647-9325
Practice Address - Fax:603-647-2453
Is Sole Proprietor?:No
Enumeration Date:2009-07-22
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3049582367500000X
NH065620-23367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered