Provider Demographics
NPI:1689634925
Name:BUCHANAN, DONNA LYNN (APRN)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:LYNN
Last Name:BUCHANAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1506 WILLOW LAWN DR
Mailing Address - Street 2:SUITE 205
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-3413
Mailing Address - Country:US
Mailing Address - Phone:804-282-8082
Mailing Address - Fax:804-282-9082
Practice Address - Street 1:1506 WILLOW LAWN DR
Practice Address - Street 2:SUITE 205
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-3413
Practice Address - Country:US
Practice Address - Phone:804-282-8082
Practice Address - Fax:804-282-9082
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2015-04-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0024168002363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004255627Medicaid
CT500001658Medicare PIN
Q65086Medicare UPIN