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Individual

AMY CELESTE BENDIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
3100 SPRING FOREST RD STE 130, RALEIGH, NC 27616-2880
(919) 873-9533

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN169862
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
100202
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1932533577
TRICARE
NC
05
1932533577
NC
Enumeration date
08/31/2013
Last updated
10/22/2014
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