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NPI Code Detail

MEDICARE: SANDRA MICHELLE BUCHANAN APRN

MEDICARE: SANDRA MICHELLE BUCHANAN APRN
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
1363LF0000XFamily Nurse Practitioner3009327KY
2363L00000XNurse Practitioner3009327KY

General Provider Information

NPI Number : 1649665746
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA MICHELLE BUCHANAN APRN
Provider Business Mailing Address
First Line : 6200 DUTCHMANS LN
Second Line :
City : LOUISVILLE
State : KY
Zip : 40205-3269
Country : US
Telephone Number : 24-566-2005
Fax Number : 502-813-2660
Provider Business Practice Location Address
First Line : 6200 DUTCHMANS LN
Second Line :
City : LOUISVILLE
State : KY
Zip : 40205-3271
Country : US
Telephone Number : 24-566-2005
Fax Number : 502-813-2660
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2015
Last Update Date : 06/01/2026

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Directions to “ SANDRA MICHELLE BUCHANAN APRN” Practice Location

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