Individual provider · Type 1 NPI
Rebecca Deatherage Buwalda, APRNBC
Nurse Practitioner · Bridgeton, MO
Practice location
12255 De Paul Dr Ste 600
Bridgeton, MO 63044-2515
Fax (314) 291-9508
Mailing address
PO Box 955534
St. Louis, MO 63195-2510
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | FNP 124462 (MO) |
Nurse Practitioner: (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 wit…
6 other providers at this address
- Allison Haungs, MDFamily Medicine Physician Bridgeton, MO NPI 1104288596
- Gurcharan Singh, MDInternal Medicine Physician Bridgeton, MO NPI 1265541411
- Josey Mitchell Page Jr., MDInternal Medicine Physician Bridgeton, MO NPI 1467426957
- Navid S. Siddiqui, MDInternal Medicine Physician Bridgeton, MO NPI 1083692677
- Raad R. Roubey, MDInternal Medicine Physician Bridgeton, MO NPI 1528106739
- Tyla Aliece Johnson, FNP-CFamily Nurse Practitioner Bridgeton, MO NPI 1457842213
Other nurse practitioner providers in Bridgeton
- Debra E. Solom, A.N.P.Nurse Practitioner Bridgeton, MO NPI 1003848516
- Van B. HoNurse Practitioner Bridgeton, MO NPI 1144844309
- Lavada Jean Smith, ANPNurse Practitioner Bridgeton, MO NPI 1164691945
- Bryan John Goss, ACNPNurse Practitioner Bridgeton, MO NPI 1164970364
- Sijuola Noimot Adelekan, NPNurse Practitioner Bridgeton, MO NPI 1184579377
- Hiwot WoldgeorgisNurse Practitioner Bridgeton, MO NPI 1265856215
- Amanda Michelle Huxtable, AGPCNP-CNurse Practitioner Bridgeton, MO NPI 1295253581
- Matthew W. Bruns, CNPNurse Practitioner Bridgeton, MO NPI 1447266333
About NPI 1366477226
Rebecca Deatherage Buwalda, APRNBC's National Provider Identifier is 1366477226, issued on Jul 11, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bridgeton, MO. The record was last updated on Oct 20, 2020.