Individual
MRS. DONNA JEAN BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP, FNP
Contact information
Practice address
450 S WILLARD ST, SUITE 115, COTTONWOOD, AZ 86326-6743
(928) 634-5551
(928) 634-5604
Mailing address
450 S WILLARD ST, SUITE 115, COTTONWOOD, AZ 86326-6743
(928) 634-5551
(928) 634-5604
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
MSL0001166078VA
VA
363LF0000X
Family Nurse Practitioner
Primary
AP7273
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP8776
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010288711
—
VA
Enumeration date
12/20/2005
Last updated
10/07/2016
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