Individual
CHRYSTALL FAYE BEITEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM-TN
Contact information
Practice address
107 S BROADWAY ST, PORTLAND, TN 37148-1303
(602) 810-9812
(615) 436-9267
Mailing address
1200 S RUSSELL ST, PORTLAND, TN 37148-2603
(602) 810-9812
(615) 436-9267
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
168
TN
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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