Provider Demographics
NPI:1518955723
Name:BUECHNER, DANA K (FNP BC)
Entity Type:Individual
Prefix:MS
First Name:DANA
Middle Name:K
Last Name:BUECHNER
Suffix:
Gender:F
Credentials:FNP BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6140 SUN BLVD UNIT 8
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33715-1105
Mailing Address - Country:US
Mailing Address - Phone:614-257-9006
Mailing Address - Fax:
Practice Address - Street 1:710 WELCH CSWY
Practice Address - Street 2:
Practice Address - City:MADEIRA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33708-2814
Practice Address - Country:US
Practice Address - Phone:727-202-3456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-11
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9304413363LF0000X
OHRN167140363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily