Individual
MS. BETHANY A BIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
799 LEXINGTON AVE, MANSFIELD, OH 44907-1906
(419) 756-5133
Mailing address
799 LEXINGTON AVE, MANSFIELD, OH 44907-1906
(419) 756-5133
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN241193
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3131300
—
OH
Enumeration date
01/17/2011
Last updated
05/02/2016
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