Healthcare Provider Details

I. General information

NPI: 1487574950
Provider Name (Legal Business Name): CRISTINA ANNETTE BUCHANAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4741 W ADDISYN CT
VISALIA CA
93291-9151
US

IV. Provider business mailing address

4741 W ADDISYN CT
VISALIA CA
93291-9151
US

V. Phone/Fax

Practice location:
  • Phone: 559-333-2523
  • Fax:
Mailing address:
  • Phone: 559-333-2523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number683486
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: