Individual provider · Type 1 NPI
Tabitha Marie Baudendistel, BSN, RN, MSN, FNP-C
Family Nurse Practitioner · St. Peters, MO
NPI number
1174381701
Active
Practice location
154 Saint Peters Centre Blvd
St. Peters, MO 63376-1695
Fax (636) 206-8548
Mailing address
7409 Leona St
St. Louis, MO 63116-2733
Other practice locations
- 11605 Studt Ave Ste 120, St. Louis, MO 63141-7052 · (314) 279-6069
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2024009298 (MO) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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- Elizabeth Gordon, FNPFamily Nurse Practitioner St. Peters, MO NPI 1063817120
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- Donna Carol Holt - Costain, APRN, BCFamily Nurse Practitioner St. Peters, MO NPI 1144215393
- Melinda McFadden, N.P.Family Nurse Practitioner St. Peters, MO NPI 1144656893
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- Kimberly L. Koontz, NP-CFamily Nurse Practitioner St. Peters, MO NPI 1205235355
About NPI 1174381701
Tabitha Marie Baudendistel, BSN, RN, MSN, FNP-C's National Provider Identifier is 1174381701, issued on Mar 8, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Peters, MO. The record was last updated on Mar 24, 2026.