Basic Information
Provider Information
NPI: 1447829072
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BUCHER
FirstName: CHELSEA
MiddleName: ANN
NamePrefix:  
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 801143
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 641801143
CountryCode: US
TelephoneNumber: 5733313000
FaxNumber: 5733315073
Practice Location
Address1: 2130 E JACKSON BLVD
Address2:  
City: JACKSON
State: MO
PostalCode: 637552907
CountryCode: US
TelephoneNumber: 5732433115
FaxNumber: 5732434700
Other Information
ProviderEnumerationDate: 06/18/2021
LastUpdateDate: 06/18/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/18/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X2021020998MOY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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