Tricia Lynn Buchanan CRNA

NPI 1912176918 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1912176918
Gender Female
Enumeration Date 02/22/2008
Last Updated 06/24/2010
Entity Type Individual
Active Over 8 years ago
Practice Location
44405 WOODWARD AVE
CRNA GROUP
PONTIAC MI, 48341-5023, US
Phone (248) 858-6539
Fax
Business Location
255 W MICHIGAN AVE
JACKSON MI, 49201-2218, US
Phone (517) 787-6440
Fax (517) 787-4146
Toxanomy
Taxonomy Code 367500000X
License State Michigan
License Number 4704234516
Remove 1912176918 NPI Number
 

According to our database, Tricia Lynn Buchanan CRNA NPI is 1912176918, taxonomy code is 367500000X and license number is 4704234516, license state is located at Michigan. Tricia Lynn Buchanan CRNA physically located at 44405 Woodward Ave, Pontiac MI, 48341-5023. NPI Number Tricia Lynn Buchanan CRNA has the Individual type.

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1912176918 NPI number is provided on an as is basis without warranty of any kind. 1912176918 is maintained by the National Plan & Provider Enumeration System. The contents of Tricia Lynn Buchanan CRNA are for informational purposes only.