Provider Demographics
NPI:1487888194
Name:BUELNA, JENEIVEVE BURRUEL (CRTT RESPIRATORY THE)
Entity type:Individual
Prefix:MS
First Name:JENEIVEVE
Middle Name:BURRUEL
Last Name:BUELNA
Suffix:
Gender:F
Credentials:CRTT RESPIRATORY THE
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:SOUTHER ARIZONA HEALTH CARE SERVICES
Mailing Address - Street 2:3601 S. 6TH AVE
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85723-0001
Mailing Address - Country:US
Mailing Address - Phone:520-792-1450
Mailing Address - Fax:
Practice Address - Street 1:SOUTHER ARIZONA HEALTH CARE SERVICES
Practice Address - Street 2:3601 S. 6TH AVE
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85723-0001
Practice Address - Country:US
Practice Address - Phone:520-792-1450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-08
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ0017672278C0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedCritical Care