Provider Demographics
NPI:1295998573
Name:BRECHTEL, CATHERINE STILWELL (BSN)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:STILWELL
Last Name:BRECHTEL
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:US HIGHWAY 18
Mailing Address - Street 2:
Mailing Address - City:PINE RIDGE
Mailing Address - State:SD
Mailing Address - Zip Code:57770
Mailing Address - Country:US
Mailing Address - Phone:605-867-3007
Mailing Address - Fax:605-867-3338
Practice Address - Street 1:US HIGHWAY 18
Practice Address - Street 2:
Practice Address - City:PINE RIDGE
Practice Address - State:SD
Practice Address - Zip Code:57770
Practice Address - Country:US
Practice Address - Phone:605-867-3007
Practice Address - Fax:605-867-3338
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-07
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA-121920363LF0000X
SDR035640163WX0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily