Provider Demographics
NPI:1780689901
Name:BUHTS, CAROLE (MSN, CNM, WHNP)
Entity Type:Individual
Prefix:
First Name:CAROLE
Middle Name:
Last Name:BUHTS
Suffix:
Gender:F
Credentials:MSN, CNM, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 STATE ST
Mailing Address - Street 2:STE 340
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-6807
Mailing Address - Country:US
Mailing Address - Phone:812-945-5233
Mailing Address - Fax:812-945-2804
Practice Address - Street 1:1919 STATE ST
Practice Address - Street 2:STE 340
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-6807
Practice Address - Country:US
Practice Address - Phone:812-945-5233
Practice Address - Fax:812-945-2804
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71000304A363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000216032OtherBC/BS FACETS
IN200489130Medicaid
IN500029279OtherMEDICARE RAILROAD
IN500029279OtherMEDICARE RAILROAD
IN242100FMedicare ID - Type UnspecifiedMEDICARE