Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amber Modafferi, CRNA, RN

Individual provider Certified Registered Nurse Anesthetist · NPI 1558021121

Amber Modafferi, CRNA, RN is a Certified Registered Nurse Anesthetist in Carthage, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1001 W St
Carthage, NY 13619-9703
Phone: (315) 493-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 138545 (NY)

Record details

NPI number1558021121
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA , RN
Sole proprietorYes
NPI enumeratedDecember 23, 2021
Last updated in NPPESDecember 23, 2021
Certification dateDecember 23, 2021
Mailing address37 Bridge St, Carthage, NY 13619-1352

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