Provider Demographics
NPI:1841811338
Name:SAHAGIAN, ABBY ZAROTNY (CRNA)
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:ZAROTNY
Last Name:SAHAGIAN
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 1:208A NECK RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:CT
Mailing Address - Zip Code:06443-2720
Mailing Address - Country:US
Mailing Address - Phone:802-793-3616
Mailing Address - Fax:
Practice Address - Street 1:MMC ANESTHESIA AND PERIOPERATIVE MEDICINE
Practice Address - Street 2:22 BRAMHALL ST
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04102
Practice Address - Country:US
Practice Address - Phone:207-662-2526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-06
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT10.146916367500000X
MERNA203045367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered