Healthcare Provider Details

I. General information

NPI: 1033973011
Provider Name (Legal Business Name): CHRISTINA LYNN BUXTON REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/09/2024
Last Update Date: 02/09/2024
Certification Date: 02/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 MESSIMER DR
NEWARK OH
43055-1874
US

IV. Provider business mailing address

65 MESSIMER DR
NEWARK OH
43055-1874
US

V. Phone/Fax

Practice location:
  • Phone: 740-522-8477
  • Fax: 740-788-3407
Mailing address:
  • Phone: 740-522-8477
  • Fax: 740-788-3407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.359530
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: