Provider Demographics
NPI:1376626259
Name:BECHTEL, CYNTHIA S (RN, CNM)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:S
Last Name:BECHTEL
Suffix:
Gender:F
Credentials:RN, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7235 SHAFTESBURY AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63130-3042
Mailing Address - Country:US
Mailing Address - Phone:314-726-5675
Mailing Address - Fax:314-919-2677
Practice Address - Street 1:1715 DEER TRACKS TRL STE 110
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131-1854
Practice Address - Country:US
Practice Address - Phone:314-919-2600
Practice Address - Fax:314-919-2677
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO50986367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife