Provider Demographics
NPI:1497117543
Name:BUENAFE, AILEEN (RN)
Entity Type:Individual
Prefix:
First Name:AILEEN
Middle Name:
Last Name:BUENAFE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9612 NE 121ST LN
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-3702
Mailing Address - Country:US
Mailing Address - Phone:818-458-8508
Mailing Address - Fax:
Practice Address - Street 1:9612 NE 121ST LN
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-3702
Practice Address - Country:US
Practice Address - Phone:818-458-8508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-27
Last Update Date:2016-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60516554163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse