Provider Demographics
NPI:1922540095
Name:MEHRER, CYNTHIA SUSAN (PMHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:SUSAN
Last Name:MEHRER
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:MRS
Other - First Name:CYNTHIA
Other - Middle Name:SUSAN
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:340 KELLEY PKWY
Mailing Address - Street 2:
Mailing Address - City:MEXICO
Mailing Address - State:MO
Mailing Address - Zip Code:65265-3811
Mailing Address - Country:US
Mailing Address - Phone:573-582-1234
Mailing Address - Fax:
Practice Address - Street 1:581 COMMONS DR
Practice Address - Street 2:
Practice Address - City:FULTON
Practice Address - State:MO
Practice Address - Zip Code:65251-1408
Practice Address - Country:US
Practice Address - Phone:573-642-3215
Practice Address - Fax:573-642-7031
Is Sole Proprietor?:No
Enumeration Date:2016-11-07
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016037723363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health