Provider Demographics
NPI:1912443177
Name:CHISM, SARAH PIAZZA (RN)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:PIAZZA
Last Name:CHISM
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ELIZABETH
Other - Last Name:PIAZZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:108 AMELIA FOREST LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29209-1759
Mailing Address - Country:US
Mailing Address - Phone:912-429-0946
Mailing Address - Fax:
Practice Address - Street 1:108 AMELIA FOREST LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29209-1759
Practice Address - Country:US
Practice Address - Phone:912-429-0946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-12
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC228262163W00000X
GA227990163WC0200X
GARN227990367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine