MEDICARE: DR. MICHELLE JEAN BENDER DNP, 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
1	367500000X	Certified Registered Nurse Anesthetist	240807	AK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982389912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHELLE JEAN BENDER DNP, CRNA

Provider Business Mailing Address
First Line	:	11116 JUNE AGNES CIR
Second Line	:
City	:	EAGLE RIVER
State	:	AK
Zip	:	99577-8196
Country	:	US
Telephone Number	:	309-530-0449
Fax Number	:

Provider Business Practice Location Address
First Line	:	3300 PROVIDENCE DR STE 207
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-4620
Country	:	US
Telephone Number	:	907-279-0555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2023
Last Update Date	:	01/14/2026

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