Provider Demographics
NPI:1508905951
Name:BUEL, CAROLYN ELAINE (ANP)
Entity Type:Individual
Prefix:MISS
First Name:CAROLYN
Middle Name:ELAINE
Last Name:BUEL
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 RIVER RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97404-5414
Mailing Address - Country:US
Mailing Address - Phone:541-431-0631
Mailing Address - Fax:541-687-8631
Practice Address - Street 1:2401 RIVER RD
Practice Address - Street 2:SUITE 101
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97404-5414
Practice Address - Country:US
Practice Address - Phone:541-431-0631
Practice Address - Fax:541-687-8631
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR081036007RN163WP0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WP0000XNursing Service ProvidersRegistered NursePain Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR081036007RNOtherNP LICENSE