Healthcare Provider Details

I. General information

NPI: 1154950095
Provider Name (Legal Business Name): ANDREA M BUEHLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2020
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 S 7TH ST
TERRE HAUTE IN
47802-5709
US

IV. Provider business mailing address

3748 JOY CIR E
TERRE HAUTE IN
47802-7510
US

V. Phone/Fax

Practice location:
  • Phone: 740-215-5844
  • Fax:
Mailing address:
  • Phone: 740-215-5844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number28221743A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number28221743A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: