Healthcare Provider Details

I. General information

NPI: 1679334593
Provider Name (Legal Business Name): DANIEL ROBERT BUHLER RN, BSN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2024
Last Update Date: 01/18/2024
Certification Date: 01/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 W 103RD AVE APT 928
FEDERAL HEIGHTS CO
80260-8613
US

IV. Provider business mailing address

2700 W 103RD AVE APT 928
FEDERAL HEIGHTS CO
80260-8613
US

V. Phone/Fax

Practice location:
  • Phone: 197-039-6123
  • Fax:
Mailing address:
  • Phone: 970-396-1232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1662701
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: