Individual
MADISON JO BEDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
615 N MICHIGAN ST, SOUTH BEND, IN 46601-1087
(574) 647-1000
Mailing address
7688 E SCOTT ST, DUGGER, IN 47848-8018
(419) 973-4158
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28244374A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
144620
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
IN
Other
Enumeration date
04/18/2023
Last updated
03/18/2026
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