Healthcare Provider Details

I. General information

NPI: 1013724947
Provider Name (Legal Business Name): MEKAYLA KATHALEEN BUHLER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2024
Last Update Date: 12/13/2024
Certification Date: 12/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4743 ARAPAHOE AVE STE 201
BOULDER CO
80303-1128
US

IV. Provider business mailing address

10730 ELIOT CIR UNIT 101
WESTMINSTER CO
80234-2765
US

V. Phone/Fax

Practice location:
  • Phone: 303-442-2395
  • Fax:
Mailing address:
  • Phone: 907-947-9140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number1663258
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number1663258
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number1663258
License Number StateCO
# 4
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1663258
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: