MEDICARE: MS. DANA K BUECHNER FNP BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	ARNP9304413	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518955723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DANA K BUECHNER FNP BC

Provider Business Mailing Address
First Line	:	6140 SUN BLVD UNIT 8
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33715-1105
Country	:	US
Telephone Number	:	614-257-9006
Fax Number	:

Provider Business Practice Location Address
First Line	:	710 WELCH CSWY
Second Line	:
City	:	MADEIRA BEACH
State	:	FL
Zip	:	33708-2814
Country	:	US
Telephone Number	:	727-202-3456
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	09/11/2014

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