Healthcare Provider Details

I. General information

NPI: 1063825263
Provider Name (Legal Business Name): JENNIFER BUEHLER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2014
Last Update Date: 06/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10400 E ALAMEDA AVE
DENVER CO
80247-5104
US

IV. Provider business mailing address

5336 S BILOXI CT
AURORA CO
80016-4024
US

V. Phone/Fax

Practice location:
  • Phone: 303-649-5813
  • Fax:
Mailing address:
  • Phone: 720-364-6521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number70981
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: