Healthcare Provider Details

I. General information

NPI: 1871204966
Provider Name (Legal Business Name): BUFFALINI PRIMARY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2022
Last Update Date: 10/18/2023
Certification Date: 10/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

606 S 4TH AVE
BRIGHTON CO
80601-3202
US

IV. Provider business mailing address

14590 BARKSDALY WAY
KEENESBURG CO
80643-4249
US

V. Phone/Fax

Practice location:
  • Phone: 720-263-1384
  • Fax: 724-765-2264
Mailing address:
  • Phone: 724-601-4581
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. MICHELLE BUFFALINI
Title or Position: CRNP/OWNER
Credential: CRNP
Phone: 724-601-4581