Healthcare Provider Details

I. General information

NPI: 1275458143
Provider Name (Legal Business Name): MACKENZIE BUCHANAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3805 EDWARDS RD STE 450
CINCINNATI OH
45209-1948
US

IV. Provider business mailing address

3805 EDWARDS RD STE 450
CINCINNATI OH
45209-1948
US

V. Phone/Fax

Practice location:
  • Phone: 513-924-5550
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPRN.CNP.0043026
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: