Provider Demographics
NPI:1033288600
Name:BUCHANAN, JOYCE FAITH (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:FAITH
Last Name:BUCHANAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-5527
Mailing Address - Country:US
Mailing Address - Phone:425-893-8330
Mailing Address - Fax:425-893-8330
Practice Address - Street 1:3001 NE 4TH ST
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98056-4122
Practice Address - Country:US
Practice Address - Phone:206-205-1690
Practice Address - Fax:206-205-1650
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30000085363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9632613Medicaid
WAAP30000085OtherARNP LICENSE
WAS54770Medicare UPIN