Rebecca Deatherage Buwalda, APRNBC
Nurse Practitioner in Bridgeton, MO. Individual provider (NPI-1).
NPI number1366477226
StatusActive
Last updated in NPPESOct 20, 2020
Details
- NPI
- 1366477226
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Deatherage Buwalda
- Credential
- APRNBC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2006
- Certification date
- Oct 20, 2020
- Last updated
- Oct 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | FNP 124462 | MO | Yes |
Practice location
12255 De Paul Dr Ste 600Bridgeton, MO 63044-2515
Phone 314-209-5100 · Fax 314-291-9508
Mailing address
Po Box 955534Saint Louis, MO 63195-2510
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Nurse Practitioner providers in Bridgeton, MO
- Sijuola Noimot Adelekan, NPNPI 1184579377
- Matthew W. Bruns, CNPNPI 1447266333
- Darcy L Daniels, NPNPI 1922478726
- Bryan John Goss, ACNPNPI 1164970364
- Mary F Hans, WHNP-BCNPI 1457604878
- Van B HoNPI 1144844309
- Amanda Michelle Huxtable, AGPCNP-CNPI 1295253581
- Mark Joseph Knotts, NPNPI 1750809224
- Agnes Chan Lewis, ANPNPI 1821360454
- Nutressa Monroe, NURSE PRACTITIONERNPI 1932628807
All 21 Nurse Practitioner providers in Bridgeton · All 1,440 providers in Bridgeton
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.