Individual
MONICA BUCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
205 N TILLOTSON AVE, MUNCIE, IN 47304-3900
(765) 288-1995
(765) 289-7512
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0335
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000205A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000665424
ANTHEM BC
IN
05
—
200295740I
—
IN
01
—
71000205A
NURSE PRACTITIONER LICENS
IN
Enumeration date
05/17/2006
Last updated
12/26/2019
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