Individual
MS. ELLEN PENNY BUCHHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1250 SOUTHWINDS DR, LANTANA, FL 33462-1459
(561) 582-5559
(561) 439-4384
Mailing address
2601 10TH AVE N, SUITE 100, PALM SPRINGS, FL 33461-3141
(561) 642-1008
(561) 802-3976
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP 1486232
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004962400
—
FL
Enumeration date
04/13/2007
Last updated
02/05/2015
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