Individual
NORA L BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3780 MEDINA RD STE 120, MEDINA, OH 44256-9312
(330) 208-2720
(330) 208-2721
Mailing address
2215 E WATERLOO RD STE 313, AKRON, OH 44312-3856
(330) 208-2720
(330) 208-2721
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN-196070
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000125743
ANTHEM BCBS INDV NUMBER
OH
05
—
0863623
—
OH
01
—
100153
EMPLOYER KAISER GROUP #
OH
01
—
120805
KAISER PERMANENTE INDV #
OH
01
—
2080224
EMP UNITED HEALTHCARE GRP
OH
01
—
34-0891295
EMPLOYER FEDERAL TAX ID #
OH
05
—
7091249
—
OH
01
—
730617
BUCKEYE COMMUNITY HLTH PL
OH
Enumeration date
05/12/2006
Last updated
11/19/2018
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