Provider Demographics
NPI:1134892920
Name:BUCHANAN, ELIZABETH (DNP, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:
Last Name:BUCHANAN
Suffix:
Gender:F
Credentials:DNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CHERRY LN
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180-6506
Mailing Address - Country:US
Mailing Address - Phone:518-444-6005
Mailing Address - Fax:518-444-6005
Practice Address - Street 1:10 CHERRY LN
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-6506
Practice Address - Country:US
Practice Address - Phone:518-444-6005
Practice Address - Fax:518-444-6005
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-28
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY784548163W00000X
NYF403991-01363LP0808X
KY1161157163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health