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NPI Code Detail

MEDICARE: TAMMY G BUCHANAN CRNA

MEDICARE: TAMMY G BUCHANAN CRNA
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
1367500000XCertified Registered Nurse Anesthetist222147WI
2367500000XCertified Registered Nurse Anesthetist1118MN
3367500000XCertified Registered Nurse AnesthetistR139997-2MN
4367500000XCertified Registered Nurse Anesthetist6389WI

General Provider Information

NPI Number : 1487627022
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMMY G BUCHANAN CRNA
Provider Business Mailing Address
First Line : 200 1ST ST SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55905-0001
Country : US
Telephone Number : 507-284-2511
Fax Number :
Provider Business Practice Location Address
First Line : 2321 STOUT RD
Second Line :
City : MENOMONIE
State : WI
Zip : 54751-7003
Country : US
Telephone Number : 715-235-9671
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2006
Last Update Date : 08/28/2023

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