Provider Demographics
NPI:1265535975
Name:KONARSKI, SUSAN M (CRNA)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:M
Last Name:KONARSKI
Suffix:
Gender:F
Credentials:CRNA
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Mailing Address - Street 1:236 RAWSON RD
Mailing Address - Street 2:#4
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445
Mailing Address - Country:US
Mailing Address - Phone:617-566-8534
Mailing Address - Fax:
Practice Address - Street 1:41 HIGHLAND AVE
Practice Address - Street 2:WINCHESTER ANESTHESIA ASSOCIATES
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890
Practice Address - Country:US
Practice Address - Phone:781-756-7243
Practice Address - Fax:781-756-7135
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA91332367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MANA0087Medicaid