Healthcare Provider Details

I. General information

NPI: 1962929133
Provider Name (Legal Business Name): COURTNEY BUEHLMAN DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: COURTNEY MCKENZIE

II. Dates (important events)

Enumeration Date: 08/28/2017
Last Update Date: 07/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

853 JEFFERSON AVE # E206
MEMPHIS TN
38103
US

IV. Provider business mailing address

1407 UNION AVE FL 7
MEMPHIS TN
38104-3627
US

V. Phone/Fax

Practice location:
  • Phone: 901-448-6728
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number23093
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number23093
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number23093
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberAP11144
License Number StateAZ
# 5
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP11144
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: