Provider Demographics
NPI:1265734081
Name:BECHTEL, WHITNEY M (CRNA)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:M
Last Name:BECHTEL
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:B
Other - Last Name:MEDLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:PO BOX 636961
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-6961
Mailing Address - Country:US
Mailing Address - Phone:513-981-5130
Mailing Address - Fax:513-981-5015
Practice Address - Street 1:225 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 105
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003-7914
Practice Address - Country:US
Practice Address - Phone:270-441-4500
Practice Address - Fax:270-441-4289
Is Sole Proprietor?:No
Enumeration Date:2010-11-30
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000158597163W00000X
TNAPN0000015356367500000X
VA0024169345367500000X
KY3008518367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100315750Medicaid
KY7100315750Medicaid