Healthcare Provider Details

I. General information

NPI: 1861369597
Provider Name (Legal Business Name): AMBER LEIGH BUELL ME
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2025
Last Update Date: 10/18/2025
Certification Date: 10/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5112 E CHARTER OAK RD
SCOTTSDALE AZ
85254-4187
US

IV. Provider business mailing address

5112 E CHARTER OAK RD
SCOTTSDALE AZ
85254-4187
US

V. Phone/Fax

Practice location:
  • Phone: 480-241-6880
  • Fax:
Mailing address:
  • Phone: 480-241-6880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number31200683
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: