Provider Demographics
NPI:1174390033
Name:ARESTY, SONDRA EVE SCHIMELMAN (CPD)
Entity type:Individual
Prefix:
First Name:SONDRA
Middle Name:EVE SCHIMELMAN
Last Name:ARESTY
Suffix:
Gender:F
Credentials:CPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 OCEANVIEW WAY
Mailing Address - Street 2:
Mailing Address - City:WINTHROP
Mailing Address - State:MA
Mailing Address - Zip Code:02152-1642
Mailing Address - Country:US
Mailing Address - Phone:617-388-6745
Mailing Address - Fax:
Practice Address - Street 1:19 OCEANVIEW WAY
Practice Address - Street 2:
Practice Address - City:WINTHROP
Practice Address - State:MA
Practice Address - Zip Code:02152-1642
Practice Address - Country:US
Practice Address - Phone:617-388-6745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6-201623374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula