| Doctor Name: | THERESA ANN BUCHANAN |
| NPI Number: | 1043357551 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 0024167130 |
| Business Practice Address: | Charles W Schiffert Health Ctr Mccomas Hall Blacksburg, VA - 240610001 |
| Business Phone Number: | 5402315313 |
| Business Fax Number: | 5402317473 |
| Mailing Address: | 1220 Pulaski Giles Tpke, PEARISBURG |
| State: | VA |
| Postal Code: | 241342607 |
| Phone Number: | 5409213174 |
| Fax Number: | |
| NPI Enumeration Date: | 01/31/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LS0200X |
| License Number: | 0024167130 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |