Healthcare Provider Details

I. General information

NPI: 1124959341
Provider Name (Legal Business Name): ANDREW BUCHANAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2512 HENDERSONVILLE RD
ARDEN NC
28704-9533
US

IV. Provider business mailing address

116 MANEY BRANCH RD
WEAVERVILLE NC
28787-9715
US

V. Phone/Fax

Practice location:
  • Phone: 828-376-7121
  • Fax:
Mailing address:
  • Phone: 828-772-8347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number303334
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: