Individual
BARBARA E BENNETHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
SIXTH AND SPRUCE STREETS, READING, PA 19612-6052
(610) 988-5089
(610) 988-5135
Mailing address
1122 STREET RD, STE 204, SOUTHAMPTON, PA 18966-4218
(215) 949-3100
(215) 355-6304
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN192173L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-1994560
HEALTH NET TRICARE
PA
01
—
50077117
CAPITAL BLUE CROSS, KEYSTONE CENTRAL, SENIOR BLUE
PA
Enumeration date
09/06/2006
Last updated
08/15/2018
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