Individual
RACHELLE BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 GOVERNORS CIR, MENDON, NY 14506-9606
(720) 984-5743
Mailing address
3 GOVERNORS CIR, MENDON, NY 14506-9606
(720) 984-5743
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
808985
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404964
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33125040
—
CO
Enumeration date
07/24/2015
Last updated
05/31/2023
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