Individual
SANDRA BONTATIBUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(513) 839-0903
Mailing address
4907 SWEETBELL CT, DAYTON, OH 45424-4825
(513) 839-0903
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
246893
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2724305
—
OH
Enumeration date
11/02/2006
Last updated
07/22/2026
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