Gail W Bettencourt, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Norwich, CT
NPI 1992909238 · NPPES record last updated Mar 30, 2015
Key facts
- NPI
- 1992909238
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 000400 (CT)
- Practice address
- 326 Washington Street
Norwich, CT 06360 - Phone
- (860) 889-8331
- NPI assigned
- Jun 12, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000400 | CT | MD | Certified Registered Nurse Anesthetist |
| 400 | CT | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of New London, PC | Past |
Accepting new patients | |
| Norwich Anesthesia Associates, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 000400 | CT | Yes |
Addresses
Primary practice location
326 Washington Street
Norwich, CT 06360
Mailing address
3998 Fair Ridge Dr
Suite # 300
Fairfax, VA 22033-2129
Phone (703) 295-9360
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004199693 | Medicaid | CT |
Other providers in Norwich, CT
- Victoria Lou Bensko
- Bentley Therapy
- Melissa Jo Bergeron
- Melissa Bergfeld
- Steven L Berke
- Better Bee Therapy and Wellness LLC
- Aakash Bhargava
- Paras Satish Bhatt
- Unknown Bhawna
- Sean Bialowas
All providers in Norwich, CT · Certified Registered Nurse Anesthetist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.