Provider Demographics
NPI:1780677716
Name:DARLING, SANDRA C (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:C
Last Name:DARLING
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:907 SUMNER STREET M201
Mailing Address - Street 2:GUARDIAN ANESTHESIA INC.
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072
Mailing Address - Country:US
Mailing Address - Phone:781-344-2325
Mailing Address - Fax:781-341-8544
Practice Address - Street 1:907 SUMNER STREET M201
Practice Address - Street 2:GUARDIAN ANESTHESIA INC.
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072
Practice Address - Country:US
Practice Address - Phone:781-344-2325
Practice Address - Fax:781-341-8544
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 417242367500000X
ARC01431367500000X
PARN542239367500000X
VA0024061717367500000X
NH050339-23-11367500000X
TNAPN0000010966367500000X
MA254106367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR152515701Medicaid
NHDA RE6732Medicare ID - Type Unspecified
FLG 0018Medicare ID - Type Unspecified
AR152515701Medicaid