Individual
RENETTE BARDIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
875 8TH ST NE, MASSILLON, OH 44646-8503
(330) 832-8761
Mailing address
PO BOX 235022, MONTGOMERY, AL 36123-5022
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN202582
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2092097
—
OH
01
—
344812
ANTHEM BCBS
OH
Enumeration date
04/06/2006
Last updated
07/08/2007
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