Active NPIIndividual provider

Sierra Shively, CRNA

Nurse Anesthetist, Certified Registered in Manchester, New Hampshire

NPI Number1124831730
Practice location
100 Mcgregor St, Manchester, NH 03102-3770
Fax
—
Last updated
February 7, 2025

Sierra Shively is a Nurse Anesthetist, Certified Registered based in Manchester, NH. Sierra Shively practices in Manchester, NH and has the professional credentials of CRNA. The NPI Number for Sierra Shively is 1124831730 and holds a License No. 113546-23 (NH). The current practice location address for Sierra Shively is 100 Mcgregor St, Manchester, NH 03102-3770 and can be reached out via phone at 603-668-3545.

Provider Profile Details

NPI Number
1124831730
Provider Name
Sierra Shively
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
100 Mcgregor St, Manchester, NH 03102-3770
Phone Number
603-668-3545
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
January 28, 2025
Last Update Date
February 7, 2025
Certification Date
February 7, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Mcgregor St
Manchester, NH 03102-3770
Zip
03102-3770
Phone Number
603-668-3545
Manchester, NH 03102Get directions →

Provider Business Mailing Address Details

Address
2 Stagecoach Ln
Bedford, NH 03110-5505
City
Bedford
State
NH
Zip
03110-5505
Phone Number
303-956-6595

License Information

License Number
113546-23
License State
NH
Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Sierra Shively, CRNA?

The NPI number of Sierra Shively, CRNA is 1124831730. It was assigned on January 28, 2025 and is currently active in the NPPES registry.

What is the specialty of Sierra Shively, CRNA?

Sierra Shively, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in NH under license number 113546-23.

Where does Sierra Shively, CRNA practice?

The practice location is 100 Mcgregor St, Manchester, NH 03102-3770. The office can be reached at 603-668-3545 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124831730 directly on the NPPES registry website.

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