Provider Demographics
NPI:1134175235
Name:STEARNS, NANCY MARIKA (APRN CRNA)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:MARIKA
Last Name:STEARNS
Suffix:
Gender:F
Credentials:APRN CRNA
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:MARIKA
Other - Last Name:BANFFY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA APRN
Mailing Address - Street 1:21 HIGHLAND ROAD
Mailing Address - Street 2:
Mailing Address - City:SOUTH KENT
Mailing Address - State:CT
Mailing Address - Zip Code:06785
Mailing Address - Country:US
Mailing Address - Phone:860-927-1900
Mailing Address - Fax:860-927-1900
Practice Address - Street 1:540 LITCHFIELD ST
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-6679
Practice Address - Country:US
Practice Address - Phone:860-496-6580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002870367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT430000985Medicare ID - Type Unspecified