Provider Demographics
NPI:1487911327
Name:BEHNEN, NANCY M (AA)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:M
Last Name:BEHNEN
Suffix:
Gender:F
Credentials:AA
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Mailing Address - Street 1:1522 N BALLAS RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-3603
Mailing Address - Country:US
Mailing Address - Phone:314-974-8979
Mailing Address - Fax:
Practice Address - Street 1:3635 VISTA AVENUE
Practice Address - Street 2:FDT-3
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110
Practice Address - Country:US
Practice Address - Phone:314-577-8750
Practice Address - Fax:314-268-5102
Is Sole Proprietor?:No
Enumeration Date:2012-04-17
Last Update Date:2017-04-06
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant