Individual
CHEYENNE BUZZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 TRACY WAY STE 100, CHARLESTON, WV 25311-1280
(304) 720-0205
Mailing address
814 CREST DR, CHARLESTON, WV 25311-1102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
125387
WV
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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