Healthcare Provider Details

I. General information

NPI: 1992731442
Provider Name (Legal Business Name): LYNN S BUHMANN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 04/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 WIND RIDGE DR
WAUSAU WI
54401-4149
US

IV. Provider business mailing address

8007 EXCELSIOR DR
MADISON WI
53717-1962
US

V. Phone/Fax

Practice location:
  • Phone: 715-675-3391
  • Fax:
Mailing address:
  • Phone: 608-829-5247
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number55027
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: