MEDICARE: SUZANNE BUCHNER NP

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	363L00000X	Nurse Practitioner	704125	TX

General Provider Information

NPI Number	:	1669430419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZANNE BUCHNER NP

Provider Business Mailing Address
First Line	:	3521 COWDEN DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78732-2146
Country	:	US
Telephone Number	:	512-266-3771
Fax Number	:

Provider Business Practice Location Address
First Line	:	3521 COWDEN DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78732-2146
Country	:	US
Telephone Number	:	512-266-3771
Fax Number	:

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

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	12/19/2007

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