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NPI Code Detail

MEDICARE: ANGILENA BUCHE RN

MEDICARE: ANGILENA BUCHE 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
1163W00000XRegistered Nurse640952CA

General Provider Information

NPI Number : 1225569668
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGILENA BUCHE RN
Provider Business Mailing Address
First Line : 37560 COLLEGE DR UNIT 204
Second Line :
City : PALM DESERT
State : CA
Zip : 92211-2919
Country : US
Telephone Number : 619-804-2204
Fax Number :
Provider Business Practice Location Address
First Line : 37560 COLLEGE DR UNIT 204
Second Line :
City : PALM DESERT
State : CA
Zip : 92211-2919
Country : US
Telephone Number : 619-804-2204
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2017
Last Update Date : 12/30/2019

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