Provider Demographics
NPI:1356950174
Name:SCHAITKIN, SARAH JEANNE (CNM)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JEANNE
Last Name:SCHAITKIN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:729 BURROUGHS RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06825-3609
Mailing Address - Country:US
Mailing Address - Phone:724-309-8468
Mailing Address - Fax:
Practice Address - Street 1:1970 WHITNEY AVE STE 4
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06517-1204
Practice Address - Country:US
Practice Address - Phone:724-309-8468
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-28
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT138901163W00000X
CT499367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse