Provider Demographics
NPI:1760660666
Name:BUHL, MARIA A (RN,MSN,CRNP)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:A
Last Name:BUHL
Suffix:
Gender:F
Credentials:RN,MSN,CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:654 VASSAR RD
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-5313
Mailing Address - Country:US
Mailing Address - Phone:610-687-0663
Mailing Address - Fax:
Practice Address - Street 1:100 E LANCASTER AVE
Practice Address - Street 2:SUITE 400, LANKANEAU MED BLDG
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-3450
Practice Address - Country:US
Practice Address - Phone:610-642-9200
Practice Address - Fax:610-649-4735
Is Sole Proprietor?:No
Enumeration Date:2008-02-04
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP008749163WP0200X
PARN567274163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
077356Medicare PIN