# TRACY JO DENO-BUECHLEIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1467646752
- **Gender:** F
- **Credential:** FNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 71002456A | IN | Yes |
| 363LF0000X | Family Nurse Practitioner | 71002456A | IN | — |

## Other

- **Enumeration date:** 08/30/2007
- **Last updated:** 11/10/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000539696 | ANTHEM PIN - MARY ST | IN |
| 01 | — | 000000539855 | ANTHEM - GATEWAY BLVD | IN |
| 05 | — | 200871560 | — | IN |