Provider Demographics
NPI:1992713739
Name:BUCHER, DAWN R (CNP)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:R
Last Name:BUCHER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1777 WILLMAC LN
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:MN
Mailing Address - Zip Code:56178-4026
Mailing Address - Country:US
Mailing Address - Phone:507-215-0101
Mailing Address - Fax:
Practice Address - Street 1:121 SAXON AVE WEST
Practice Address - Street 2:
Practice Address - City:IVANHOE
Practice Address - State:MN
Practice Address - Zip Code:56142
Practice Address - Country:US
Practice Address - Phone:507-694-1232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR 130754-0363LF0000X
SDR029595363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily