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NPI Code Detail

MEDICARE: COLLEEN BEDFORD CRNA

MEDICARE: COLLEEN BEDFORD CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistAPRN11039343FL
2367500000XCertified Registered Nurse Anesthetist491114NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12222OTHERNYBLUE SHIELD GROUP
2G0189393590OTHERNYBLUE CHOICE GROUP

General Provider Information

NPI Number : 1437184934
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLEEN BEDFORD CRNA
Provider Business Mailing Address
First Line : 601 ELMWOOD AVE
Second Line : BOX 604
City : ROCHESTER
State : NY
Zip : 14642-0001
Country : US
Telephone Number : 585-275-5982
Fax Number : 585-756-0169
Provider Business Practice Location Address
First Line : 8300 COLLIER BLVD
Second Line :
City : NAPLES
State : FL
Zip : 34114-3549
Country : US
Telephone Number : 239-354-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 02/09/2026

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