Individual
ANDREA R BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1340 HAL GREER BLVD, HUNTINGTON, WV 25701-3800
(205) 322-1808
(205) 322-1851
Mailing address
PO BOX 714960, COLUMBUS, OH 43271-4960
(205) 322-1808
(205) 322-1851
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
43265
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067966000
—
WV
05
—
0287041
—
OH
05
—
74443292
—
KY
01
—
P00231145
PALMETTO GBA-RR MEDICARE
—
Enumeration date
10/16/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us