Provider Demographics
NPI:1669964326
Name:BUEHNER, AMBER N (FNP)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:N
Last Name:BUEHNER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:AMBER
Other - Middle Name:NICOLE
Other - Last Name:BUEHNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AMBER BUTLER
Mailing Address - Street 1:2933 N SHERIDAN RD APT 709
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-5937
Mailing Address - Country:US
Mailing Address - Phone:870-421-3355
Mailing Address - Fax:
Practice Address - Street 1:225 E CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2991
Practice Address - Country:US
Practice Address - Phone:312-227-3550
Practice Address - Fax:312-227-9642
Is Sole Proprietor?:No
Enumeration Date:2018-05-30
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.017722363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner