Individual
DONNA BAUDENDISTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6071 TELEGRAPH RD, SAINT LOUIS, MO 63129-4758
(314) 846-9265
Mailing address
161 WASHINGTON ST, 14TH FLOOR, SUITE 1400, CONSHOHOCKEN, PA 19428-2083
(866) 825-3227
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
069563
MO
Other
Enumeration date
05/31/2006
Last updated
07/08/2007
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