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Rebecca Deatherage Buwalda, APRNBC
Nurse Practitioner in Bridgeton, Missouri
NPI 1366477226

Rebecca Deatherage Buwalda is a Nurse Practitioner based in Saint Louis, MO. Rebecca Deatherage Buwalda practices in Bridgeton, MO and has the professional credentials of APRNBC. The NPI Number for Rebecca Deatherage Buwalda is 1366477226 and holds a License No. FNP 124462 (Missouri).

The current practice location address for Rebecca Deatherage Buwalda is 12255 De Paul Dr Ste 600, Bridgeton, MO and can be reached out via phone at 314-209-5100 and via fax at 314-291-9508. You can also correspond with Rebecca Deatherage Buwalda through the mailing address at PO BOX 955534, SAINT LOUIS, MO - 63195-2510 (mailing address contact number: ).

Location: 12255 De Paul Dr Ste 600, Bridgeton, MO, 63195-2510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366477226
Provider Name
Rebecca Deatherage Buwalda
Credential
APRNBC
Provider Entity Type
Individual
Gender
Female
Address
12255 De Paul Dr Ste 600, Bridgeton, MO, 63195-2510
Phone Number
314-209-5100
Fax Number
314-291-9508
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P21556 01 MO RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
12255 De Paul Dr Ste 600
City
Bridgeton
State
Missouri
Zip
63044-2515
Phone Number
314-209-5100
Fax Number
314-291-9508
person
Provider Business Mailing Address Details
Address
Po Box 955534
City
Saint Louis
State
Missouri
Zip
63195-2510
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
FNP 124462 (Missouri)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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