Active NPIIndividual provider

Michelle Keizerweerd, CRNA

Nurse Anesthetist, Certified Registered in Stratford, Connecticut

NPI Number1558682237
Practice location
7365 Main St, Suite 310, Stratford, CT 06614-1300
Fax
203-384-4619
Last updated
November 4, 2022

Michelle Keizerweerd is a Nurse Anesthetist, Certified Registered based in Stratford, CT. Michelle Keizerweerd practices in Stratford, CT and has the professional credentials of CRNA. The NPI Number for Michelle Keizerweerd is 1558682237 and holds a License No. 084154 (CT). The current practice location address for Michelle Keizerweerd is 7365 Main St, Suite 310, Stratford, CT 06614-1300 and can be reached out via phone at 203-384-3174 and via fax at 203-384-4619.

Provider Profile Details

NPI Number
1558682237
Provider Name
Michelle Keizerweerd
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
7365 Main St, Suite 310, Stratford, CT 06614-1300
Phone Number
203-384-3174
Fax Number
203-384-4619
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
June 17, 2010
Last Update Date
November 4, 2022
Certification Date
November 4, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
7365 Main St
Suite 310
Stratford, CT 06614-1300
Zip
06614-1300
Phone Number
203-384-3174
Fax Number
203-384-4619
Stratford, CT 06614Get directions →

Provider Business Mailing Address Details

Address
7365 Main St
Suite 310
Stratford, CT 06614-1300
City
Stratford
State
CT
Zip
06614-1300
Phone Number
203-384-3174
Fax Number
203-384-4619

License Information

License Number (1)
084154
License State (1)
CT
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
559658
License State (2)
NY
Taxonomy (2)
Nurse Anesthetist, Certified Registered · 367500000X
License Number (3)
004513
License State (3)
CT
Taxonomy (3)
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 Michelle Keizerweerd, CRNA?

The NPI number of Michelle Keizerweerd, CRNA is 1558682237. It was assigned on June 17, 2010 and is currently active in the NPPES registry.

What is the specialty of Michelle Keizerweerd, CRNA?

Michelle Keizerweerd, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in CT under license number 084154.

Where does Michelle Keizerweerd, CRNA practice?

The practice location is 7365 Main St, Suite 310, Stratford, CT 06614-1300. The office can be reached at 203-384-3174 (phone) or 203-384-4619 (fax).

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 1558682237 directly on the NPPES registry website.

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