Individual provider · NPI-1

Brian Joseph Bechtold, CRNP

Nurse Practitioner, Acute Care · Wynnewood, PA

NPI number1346782141
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1346782141
Entity type
Individual (NPI-1)
Name
Brian Joseph Bechtold
Credential
CRNP
Sex
Male
Sole proprietor
No
Enumeration date
Nov 9, 2016
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LA2100X Nurse Practitioner, Acute CareSP016852PAYes
363L00000X Nurse PractitionerSP016852PA
363LG0600X Nurse Practitioner, GerontologySP016852PA

Practice location

100 E Lancaster Ave
Wynnewood, PA 19096-3450

Phone 484-476-1000 · Fax 484-476-9000

Mailing address

100 E Lancaster Ave
Wynnewood, PA 19096-3450

Phone 484-476-1000 · Fax 484-476-9000

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