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Individual

CHARLENE ALTHEA BUCHANAN

Active
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Individual

CHARLENE ALTHEA BUCHANAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28162578A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
1896672
FL
367500000X
Certified Registered Nurse Anesthetist
5227A
KY
367500000X
Certified Registered Nurse Anesthetist
795745-01
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200808270
IN
01
223090A
MEDICARE FGTBA REASSIGN
IN
01
300807000
DOL ACS (FECA)
FL
05
304720200
FL
01
360880
ANTHEM/BCBS
IN
01
7861915
AETNA GTBA
FL
01
G3099
BCBS
FL
01
G3099Z
MEDICARE GTBA REASSIGN
FL
Enumeration date
05/12/2006
Last updated
04/09/2026
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