Provider Demographics
NPI:1326891136
Name:BUFFINGTON, MARY KATHERYN (RN)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:KATHERYN
Last Name:BUFFINGTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:KATHERYN
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2913 VALLEY AVE
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2676
Mailing Address - Country:US
Mailing Address - Phone:540-536-5200
Mailing Address - Fax:
Practice Address - Street 1:2913 VALLEY AVE
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2676
Practice Address - Country:US
Practice Address - Phone:540-536-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV68870163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse