Healthcare Provider Details

I. General information

NPI: 1356304257
Provider Name (Legal Business Name): AMY BENDER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY BENDER CRNA

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 BLACKBURN RD
SEWICKLEY PA
15143-1459
US

IV. Provider business mailing address

312 ACADEMY AVE
SEWICKLEY PA
15143-1214
US

V. Phone/Fax

Practice location:
  • Phone: 724-728-7000
  • Fax: 214-687-9344
Mailing address:
  • Phone: 412-600-9498
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN-522617-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: