Healthcare Provider Details

I. General information

NPI: 1649477803
Provider Name (Legal Business Name): MS. CARMEN BUECHEL - BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10020 270TH ST NW
STANWOOD WA
98292-8021
US

IV. Provider business mailing address

PO BOX 278
STANWOOD WA
98292-0278
US

V. Phone/Fax

Practice location:
  • Phone: 360-629-2145
  • Fax: 360-629-2983
Mailing address:
  • Phone: 360-629-2145
  • Fax: 360-629-2983

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA00000378
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: