Individual
BERNARD F NACU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 MEDICAL VILLAGE DR, INDEPENDENT ANESTHESIOLOGISTS PSC, EDGEWOOD, KY 41017-3403
(859) 341-7246
(859) 341-7867
Mailing address
20 MEDICAL VILLAGE DR, # 258 INDEPENDENT ANESTHESIOLOGISTS PSC, EDGEWOOD, KY 41017-5401
(859) 341-7246
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1052198
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000288572
ANTHEM BLUE SHIELD
—
05
—
0966281
—
OH
01
—
50015539
PASSPORT ADVANTAGE
—
05
—
74438342
—
KY
Enumeration date
12/19/2005
Last updated
02/28/2008
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