Healthcare Provider Details

I. General information

NPI: 1962315523
Provider Name (Legal Business Name): MS. GIOVANNA RENA BUFORD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

VIA GIORGIO CORBETTA, 17
APO AE
36100
US

IV. Provider business mailing address

VIA GIORGIO CORBETTA, 17 VICENZA VI, ITALY66849 LANDSTUHL, GERMANY
APO AE
36100
US

V. Phone/Fax

Practice location:
  • Phone: 314-636-9553
  • Fax:
Mailing address:
  • Phone: 314-636-9553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberRN9177841
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: