Provider Demographics
NPI:1558997544
Name:BUCHANAN, RACHAEL ANN (FNP)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:ANN
Last Name:BUCHANAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 43
Mailing Address - Street 2:
Mailing Address - City:ROSSTON
Mailing Address - State:TX
Mailing Address - Zip Code:76263-0043
Mailing Address - Country:US
Mailing Address - Phone:214-906-2257
Mailing Address - Fax:
Practice Address - Street 1:711 COUNTY ROAD 362
Practice Address - Street 2:
Practice Address - City:ROSSTON
Practice Address - State:TX
Practice Address - Zip Code:76263-1201
Practice Address - Country:US
Practice Address - Phone:214-906-2257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-21
Last Update Date:2020-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP143823363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily