MEDICARE: MRS. MARY BLAIR BUEHLER FNP-C, DNP, RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APN0000017985	TN

General Provider Information

NPI Number	:	1093141087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARY BLAIR BUEHLER FNP-C, DNP, RN

Provider Business Mailing Address
First Line	:	1622 HUNTERS REST LN
Second Line	:
City	:	CORDOVA
State	:	TN
Zip	:	38016-5710
Country	:	US
Telephone Number	:	901-210-7724
Fax Number	:

Provider Business Practice Location Address
First Line	:	59 S MAIN ST
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38103-5122
Country	:	US
Telephone Number	:	901-522-2000
Fax Number	:	901-522-2003

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2013
Last Update Date	:	09/23/2013

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