Individual
REBECCA STAUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
12700 SOUTHFORK RD STE 100, SAINT LOUIS, MO 63128-3201
(314) 543-5284
(314) 543-5276
Mailing address
12700 SOUTHFORK RD STE 100, SAINT LOUIS, MO 63128-3201
(314) 543-5284
(314) 543-5276
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
2020010578
MO
Other
Enumeration date
06/29/2020
Last updated
01/20/2026
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