MEDICARE: CYNTHIA S. BECHTEL RN, CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	50986	MO

General Provider Information

NPI Number	:	1376626259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA S. BECHTEL RN, CNM

Provider Business Mailing Address
First Line	:	7235 SHAFTESBURY AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63130-3042
Country	:	US
Telephone Number	:	314-726-5675
Fax Number	:	314-919-2677

Provider Business Practice Location Address
First Line	:	1715 DEER TRACKS TRL STE 110
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63131-1854
Country	:	US
Telephone Number	:	314-919-2600
Fax Number	:	314-919-2677

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	07/08/2007

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