Matthew Robert Baechle Valid NPI

Individual provider · Certified Registered Nurse Anesthetist · Bridgeton, MO

NPI

1720641996

Type

Individual (Type 1)

Primary specialty

Certified Registered Nurse Anesthetist (Nurse Anesthetist, Certified Registered)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

367500000X

License number

2019017173 (MO)

Sex

Male

Sole proprietor

No

Enumerated

2019-04-15

Last updated

2024-05-14