Individual
MRS. JOANNA JOY BUCHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
110 E LAKEWAY RD STE 700, GILLETTE, WY 82718-6350
(307) 363-4727
Mailing address
110 E LAKEWAY RD STE 700, GILLETTE, WY 82718-6350
(307) 363-4727
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
27049
WY
363L00000X
Nurse Practitioner
Primary
56125
WY
363LC1500X
Community Health Nurse Practitioner
56125
WY
363LF0000X
Family Nurse Practitioner
56125
WY
Other
Enumeration date
07/22/2024
Last updated
02/06/2025
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