Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | ARNP 535562 | FL |
NPI | 1316902240 |
---|---|
Provider Name | Sheryl Owen Buchanan |
First Address | Tallahassee, FL 32303-2626 |
Second Address | Tallahassee, FL 32308-5054 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 08/07/2007 |