Healthcare Provider Details

I. General information

NPI: 1285246025
Provider Name (Legal Business Name): KARENZA BUXTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2020
Last Update Date: 08/22/2020
Certification Date: 08/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 E 43RD ST
CLEVELAND OH
44103-1111
US

IV. Provider business mailing address

1401 E 43RD ST
CLEVELAND OH
44103-1111
US

V. Phone/Fax

Practice location:
  • Phone: 216-394-1430
  • Fax:
Mailing address:
  • Phone: 216-394-1430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: