Individual
REBEKAH J BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1651 GUNBARREL RD STE 102, CHATTANOOGA, TN 37421-3289
(423) 308-0390
(423) 308-0393
Mailing address
4976 ALPHA LN, HIXSON, TN 37343-5470
(423) 497-5355
(423) 308-0281
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN15951
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003113181B
—
GA
05
—
003113481A
—
GA
05
—
003113481C
—
GA
05
—
003113481D
—
GA
05
—
1525881
—
TN
01
—
4306850
BCBS OF TN
—
01
—
P00983456
RAILROAD MEDICARE
—
Enumeration date
07/29/2011
Last updated
01/10/2023
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