Individual
JEFFREY BENTREM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8700 STONY POINT PKWY STE 100, RICHMOND, VA 23235-1968
(804) 775-4500
(804) 545-7058
Mailing address
8700 STONY POINT PKWY STE 100, RICHMOND, VA 23235-1968
(804) 775-4500
(804) 545-7058
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024119666
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9553231
—
VA
Enumeration date
10/06/2005
Last updated
01/12/2024
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