Provider Demographics
NPI:1437275559
Name:BUELL, JANICE MICHELLE (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:MICHELLE
Last Name:BUELL
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9887 E NO LUCK WAY
Mailing Address - Street 2:
Mailing Address - City:GOLD CANYON
Mailing Address - State:AZ
Mailing Address - Zip Code:85218-3556
Mailing Address - Country:US
Mailing Address - Phone:602-677-7745
Mailing Address - Fax:
Practice Address - Street 1:8997 E DESERT COVE DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6742
Practice Address - Country:US
Practice Address - Phone:480-860-4792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN090007163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory