Provider Demographics
NPI:1912232232
Name:BUECHEL, JENNIFER JEAN
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:JEAN
Last Name:BUECHEL
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:US NAVAL HOSPITAL GUAM
Mailing Address - Street 2:FARENHOLT AVENUE BUILDING 1
Mailing Address - City:AGANA HEIGHTS
Mailing Address - State:GUAM
Mailing Address - Zip Code:96919
Mailing Address - Country:UM
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:107 G ST APT C
Practice Address - Street 2:ROYAL GARDENS 25-3
Practice Address - City:TAMUNING
Practice Address - State:GU
Practice Address - Zip Code:96913-3771
Practice Address - Country:US
Practice Address - Phone:671-482-1029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-04
Last Update Date:2009-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18256363LA2200X
CA2984364SC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No364SC0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCritical Care Medicine