Rebecca Deatherage Buwalda, APRNBC
Rebecca Deatherage Buwalda, APRNBC is a Nurse Practitioner in Bridgeton, Missouri. Qualified in 1999, 27 years ago. Practices with SSM Medical Group Inc, a 560-clinician group and accepts Medicare assignment. Licensed in Missouri.
- Years since qualifying
- 27
- Licensed in
- MO
- In the registry since
- 2006
Practice location Address checks out
12255 De Paul Dr Ste 600Bridgeton, MO 63044-2515
Phone: (314) 209-5100
Fax: (314) 291-9508
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence FNP 124462 (MO) |
|---|
Record details
| NPI number | 1366477226 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | APRNBC |
| Sole proprietor | No |
| NPI enumerated | July 11, 2006 |
| Last updated in NPPES | October 20, 2020 |
| Certification date | October 20, 2020 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 1999 (27 years in practice) |
| Group practice | Ssm Medical Group Inc — 560 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Bridgeton
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Sijuola Noimot Adelekan, NP
12303 De Paul Dr, Bridgeton, MO 63044-2512 · (314) 344-6000
-
Mr. Matthew W. Bruns, CNP
12349 De Paul Dr Ste 100, Bridgeton, MO 63044-2512 · (314) 291-7900
-
Mrs. Darcy L Daniels, NP
12255 De Paul Dr Ste 500, Bridgeton, MO 63044 · (314) 209-5180
-
MS. Mary Frances Digregorio, MSW, APRN, BC, NP-C
12255 De Paul Dr Ste 700, Bridgeton, MO 63044-2510 · (314) 739-4166
-
Van B Ho
12774 Boenker Ln, Bridgeton, MO 63044-2436 · (314) 291-7997
-
Mrs. Amanda Michelle Huxtable, AGPCNP-C
12303 De Paul Dr, Bridgeton, MO 63044-2512 · (314) 344-6000