Individual
CHARLENE ALTHEA BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2 COLUMBIA DR, SUITE A327, TAMPA, FL 33606-3508
(813) 844-4396
(813) 844-4972
Mailing address
2 COLUMBIA DR, SUITE A327, TAMPA, FL 33606-3508
(813) 844-4396
(813) 844-4972
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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