MEDICARE: RACHEL BUENO APRN, WHNP-BC

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	363L00000X	Nurse Practitioner	1091860	TX

General Provider Information

NPI Number	:	1952188849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL BUENO APRN, WHNP-BC

Provider Business Mailing Address
First Line	:	218 HOWLE AVE STE A
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29412-2449
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	218 HOWLE AVE STE A
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29412-2449
Country	:	US
Telephone Number	:	854-444-0518
Fax Number	:

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

Provider Enumeration Date	:	09/13/2023
Last Update Date	:	09/13/2023

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