Provider Demographics
NPI:1437673837
Name:BUCHANAN, ANA MARIELA (NP-C)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:MARIELA
Last Name:BUCHANAN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 N HOMESTEAD DR
Mailing Address - Street 2:
Mailing Address - City:LANDISVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17538-1376
Mailing Address - Country:US
Mailing Address - Phone:717-342-4788
Mailing Address - Fax:
Practice Address - Street 1:233 COLLEGE AVE STE 302
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-3384
Practice Address - Country:US
Practice Address - Phone:717-291-8512
Practice Address - Fax:717-291-8547
Is Sole Proprietor?:No
Enumeration Date:2017-07-28
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP017339363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily