Individual
RENEE DENISE BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 TECHNOLOGY PARK STE 109, LAKE MARY, FL 32746-7107
(407) 647-2346
Mailing address
15416 AVERY RD, PORT CHARLOTTE, FL 33981-3225
(954) 817-6757
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11035830
FL
Other
Enumeration date
09/11/2024
Last updated
10/11/2024
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