William Maxime Buron III
Nurse Practitioner - Gerontology Nurse Practitioner - Family Medicine
3550 S 4th St
Leavenworth
, Kansas 66048-5071
William Maxime Buron III
Nurse Practitioner - Gerontology Nurse Practitioner - Family Medicine
3550 S 4th St
Leavenworth
, Kansas 66048-5071
(913) 680-6220
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- William Maxime Buron III
- 3500 S. 4th Street Attn: Provider Enrollment Credentialing
- Leavenworth, KS
- Zip : 66048
- Phone : (913) 680-6220
Second Address
- William Maxime Buron III
- 3550 S 4th St
- Leavenworth, KS
- Zip : 66048-5071
- Fax : (816) 943-2767
- Phone : (913) 680-6220
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LF0000X | Nurse Practitioner - Family Medicine | 137590 | MO |
| N | 363LF0000X | Nurse Practitioner - Family Medicine | A01527 | AR |
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 2018031144 | MO |
National Provider Identifier
| NPI | 1013965862 |
|---|---|
| Provider Name | William Maxime Buron III |
| First Address | Leavenworth, KS 66048 |
| Second Address | Leavenworth, KS 66048-5071 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/05/2006 |
| Last Update Date | 27/12/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 154714758 | (05) | AR |
| P44545 | (02) | AR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.