Tabitha Marie Baudendistel, BSN, RN, MSN, FNP-C
Nurse Practitioner, Family in Saint Peters, MO. Individual provider (NPI-1).
NPI number1174381701
StatusActive
Last updated in NPPESMar 24, 2026
Details
- NPI
- 1174381701
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tabitha Marie Baudendistel
- Credential
- BSN, RN, MSN, FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 8, 2024
- Certification date
- Mar 24, 2026
- Last updated
- Mar 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 2024009298 | MO | Yes |
Other names
- Tabitha Marie Braun (Former Name)
Practice location
154 Saint Peters Centre BlvdSaint Peters, MO 63376-1695
Phone 636-552-9647 · Fax 636-206-8548
Mailing address
7409 Leona StSaint Louis, MO 63116-2733
Other practice locations
11605 Studt Ave Ste 120
Saint Louis, MO 63141-7052
Saint Louis, MO 63141-7052
Phone 314-279-6069
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