MRS. SHELLY RAE BUCH FNP NPI 1114106184

NPI Information

NPI: 1114106184
Provider Name: MRS. SHELLY RAE BUCH, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1010 OLIVE AVE
FLORENCE, WI
ZIP 54121
Phone: (715) 528-4775
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MRS. Shelly Rae Buch, FNP is a family nurse practitioner in Florence, WI with 17 years of experience. MRS. Shelly Rae Buch, FNP NPI is 1114106184. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1010 OLIVE AVE
FLORENCE, WI
ZIP 54121-380
Phone: (715) 528-4775
Fax: (715) 528-5592

The NPI 1114106184 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/26/2007 and was last updated on 12/18/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	4704222854	MICHIGAN	No
2	363LF0000X	Nurse Practitioner	Family	4575-033	WISCONSIN	Yes
3	363LF0000X	Nurse Practitioner	Family	1084	ALASKA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NP0063	MEDICAID	ALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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