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Individual
DR. BEVERLY C. BUCHANAN
Active
Individual
DR. BEVERLY C. BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PHD, CWCN-APRN
Taxonomy
Speciality
Code
Description
License number
State
163WE0900X
Enterostomal Therapy Registered Nurse
R523623
MS
163WW0000X
Wound Care Registered Nurse
R523623
MS
364S00000X
Clinical Nurse Specialist
Primary
R523623/#2002148630
MS
Other
Enumeration date
11/03/2006
Last updated
02/15/2010
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