Provider Demographics
NPI:1871731976
Name:BUCHANAN, KRYSTI LEIGH (MS, ANP-BC, GNP-BC)
Entity type:Individual
Prefix:MRS
First Name:KRYSTI
Middle Name:LEIGH
Last Name:BUCHANAN
Suffix:
Gender:F
Credentials:MS, ANP-BC, GNP-BC
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Mailing Address - Street 1:560 1ST AVE
Mailing Address - Street 2:TH 576
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6402
Mailing Address - Country:US
Mailing Address - Phone:212-263-5555
Mailing Address - Fax:212-263-8685
Practice Address - Street 1:560 1ST AVE
Practice Address - Street 2:TH 576
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-263-5555
Practice Address - Fax:212-263-8685
Is Sole Proprietor?:No
Enumeration Date:2009-01-27
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY305038363LA2200X
NY340730363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology