Provider Demographics
NPI:1699843672
Name:BUEHLER, ELSIE ALICE (APRN)
Entity Type:Individual
Prefix:
First Name:ELSIE
Middle Name:ALICE
Last Name:BUEHLER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2635 LINCOLN WAY
Mailing Address - Street 2:STE A
Mailing Address - City:CLINTON
Mailing Address - State:IA
Mailing Address - Zip Code:52732-7203
Mailing Address - Country:US
Mailing Address - Phone:563-243-1413
Mailing Address - Fax:563-242-9992
Practice Address - Street 1:2635 LINCOLN WAY
Practice Address - Street 2:STE A
Practice Address - City:CLINTON
Practice Address - State:IA
Practice Address - Zip Code:52732-7203
Practice Address - Country:US
Practice Address - Phone:563-243-1413
Practice Address - Fax:563-242-9992
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IAF115781363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner