| NPI | 1174983878 |
|---|---|
| Former Name | ANGELA RENEE BUCHANAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5015653) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2015011469) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2024-01-17 |