NPI | 1255685889 |
---|---|
Former Name | MICHELLE B BUECHNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2270499) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60310471) |
363L00000X Nurse Practitioner (Licence: NH 071057-23) | |
Enumeration Date | 2012-11-05 |
Last Update Date | 2021-09-17 |