Provider Demographics
NPI:1073083085
Name:BUZOEANU, RUXANDRA (AGNP)
Entity Type:Individual
Prefix:
First Name:RUXANDRA
Middle Name:
Last Name:BUZOEANU
Suffix:
Gender:F
Credentials:AGNP
Other - Prefix:
Other - First Name:RUXANDRA
Other - Middle Name:
Other - Last Name:POPESCU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:635 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27260-5017
Mailing Address - Country:US
Mailing Address - Phone:336-887-0038
Mailing Address - Fax:336-885-8096
Practice Address - Street 1:635 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27260-5017
Practice Address - Country:US
Practice Address - Phone:336-887-0038
Practice Address - Fax:336-885-8096
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-03
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5011254363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty