Provider Demographics
NPI:1598260416
Name:BUEHLER, KRISTIE MICHELLE (RN)
Entity Type:Individual
Prefix:
First Name:KRISTIE
Middle Name:MICHELLE
Last Name:BUEHLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:KRISTIE
Other - Middle Name:MICHELLE
Other - Last Name:STANLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:23 CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:SENECA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:13148-1509
Mailing Address - Country:US
Mailing Address - Phone:854-896-8275
Mailing Address - Fax:
Practice Address - Street 1:23 CLINTON ST
Practice Address - Street 2:
Practice Address - City:SENECA FALLS
Practice Address - State:NY
Practice Address - Zip Code:13148-1509
Practice Address - Country:US
Practice Address - Phone:585-489-6827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-25
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY323234164W00000X
NY827925163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse