=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598919441
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LANIN R. BUFORD DNP, APRN, PPCNP-BC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/05/2008
-----------------------------------------------------
Last Update Date | 07/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | GET WELL CARE 4 KIDZ 2743 SMITH RANCH RD SUITE #1701
-----------------------------------------------------
City | PEARLAND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77584
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-275-8019
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7431 HINSDALE DR
-----------------------------------------------------
City | PASADENA
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77505-1113
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-275-8019
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0200X
-----------------------------------------------------
Taxonomy Name | Pediatric Nurse Practitioner
-----------------------------------------------------
License Number | AP121836
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------