Provider Demographics
NPI:1922507771
Name:BUZARD, AMY
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:BUZARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22868 ROUTE 68 STE 5
Mailing Address - Street 2:
Mailing Address - City:CLARION
Mailing Address - State:PA
Mailing Address - Zip Code:16214-8566
Mailing Address - Country:US
Mailing Address - Phone:814-227-2941
Mailing Address - Fax:814-227-2946
Practice Address - Street 1:22868 ROUTE 68 STE 5
Practice Address - Street 2:
Practice Address - City:CLARION
Practice Address - State:PA
Practice Address - Zip Code:16214-8566
Practice Address - Country:US
Practice Address - Phone:814-227-2941
Practice Address - Fax:814-227-2946
Is Sole Proprietor?:No
Enumeration Date:2018-02-07
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP018449363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily