| NPI | 1508694928 |
|---|---|
| Other Name | COURTNEY COLLEEN BUCHANAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1173270) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2024024830) |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-09-16 |