Individual
DAWANDA BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 OLIVE ST STE 100, SAINT LOUIS, MO 63103-2303
(314) 654-6840
(314) 621-5006
Mailing address
4000 JENNINGS STATION RD, SAINT LOUIS, MO 63121-3323
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
2010034802
MO
363LF0000X
Family Nurse Practitioner
Primary
2018035613
MO
Other
Enumeration date
10/29/2012
Last updated
11/03/2022
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