Courtland Bernard, CRNA
Nurse Anesthetist, Certified Registered in Fort Myers, FL. Individual provider (NPI-1).
NPI number1801489166
StatusActive
Last updated in NPPESDec 23, 2022
Details
- NPI
- 1801489166
- Entity type
- Individual (NPI-1)
- Name
- Courtland Bernard
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 18, 2021
- Certification date
- Dec 23, 2022
- Last updated
- Dec 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 11013260 | FL | Yes |
| 163WC0200X | Registered Nurse, Critical Care Medicine | RN9433360 | FL | |
| 367500000X | Nurse Anesthetist, Certified Registered | 32611 | TN |
Practice location
13681 Doctors WayFort Myers, FL 33912-4300
Phone 239-343-1000
Mailing address
7805 7th PlLehigh Acres, FL 33936-2261
Phone 864-316-7688
Other practice locations
1901 Clinch Ave
Knoxville, TN 37916-2307
Knoxville, TN 37916-2307
Phone 865-541-1111
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