National Provider Identifier Database

TABITHA M BAUDENDISTEL, BSN, RN, MSN, FNP-C – NPI #1174381701
Family


Contact Information

TABITHA M BAUDENDISTEL, BSN, RN, MSN, FNP-C
154 SAINT PETERS CENTRE BLVD
SAINT PETERS, MO63376-1695
Phone: 636-552-9647
Fax: 636-206-8548
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for TABITHA M BAUDENDISTEL

NPI Number 1174381701
Credentials BSN, RN, MSN, FNP-C
Entity Individual
Enumeration date 03/08/2024
Last updated 03/24/2026 - About 2 months ago
Sole proprietor1 No
Identifiers
  • MO License #: 2024009298
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for TABITHA M BAUDENDISTEL, BSN, RN, MSN, FNP-C

There are currently no reviews for TABITHA M BAUDENDISTEL, BSN, RN, MSN, FNP-C


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