Healthcare Provider Details

I. General information

NPI: 1760660666
Provider Name (Legal Business Name): MARIA A. BUHL RN,MSN,CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2008
Last Update Date: 08/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E LANCASTER AVE SUITE 400, LANKANEAU MED BLDG
WYNNEWOOD PA
19096-3450
US

IV. Provider business mailing address

654 VASSAR RD
WAYNE PA
19087-5313
US

V. Phone/Fax

Practice location:
  • Phone: 610-642-9200
  • Fax: 610-649-4735
Mailing address:
  • Phone: 610-687-0663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberSP008749
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN567274
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: