Individual
MRS. JUANITA BUFFY HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
333 BOGLE ST, SOMERSET, KY 42503-2873
(606) 678-0705
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4607
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
3005888
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11937677
CAQH
—
01
—
3005888
APRN LICENSE
—
05
—
7100084990
—
KY
Enumeration date
01/12/2009
Last updated
06/16/2023
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