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NPI Code Detail

MEDICARE: COURTNEY ANN BUCHWALD

MEDICARE:   COURTNEY ANN BUCHWALD
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
1163WC1500XCommunity Health Registered Nurse28209542AIN

General Provider Information

NPI Number : 1699369264
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY ANN BUCHWALD
Provider Business Mailing Address
First Line : 16037 MINNESOTA AVE
Second Line :
City : FORT LEONARD WOOD
State : MO
Zip : 65473-1648
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 16037 MINNESOTA AVE
Second Line :
City : FORT LEONARD WOOD
State : MO
Zip : 65473-1648
Country : US
Telephone Number : 573-596-9534
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2021
Last Update Date : 02/24/2021

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Directions to “ COURTNEY ANN BUCHWALD ” Practice Location

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