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Individual

MS. AMY JOY BUCHENAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
2222 E STATE ST, SUITE 209, ROCKFORD, IL 61104-1573
(815) 988-8500
Mailing address
2222 E STATE ST, SUITE 209, ROCKFORD, IL 61104-1573
(815) 988-8500

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041284208
IL
163W00000X
Registered Nurse
16719530
WI
363LF0000X
Family Nurse Practitioner
Primary
209009880
IL

Other

Enumeration date
03/31/2009
Last updated
04/29/2013
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