Provider Demographics
NPI:1548494883
Name:BUIST, NANCY ALLEN (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:ALLEN
Last Name:BUIST
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1077 TENNYSON PL NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30319-1924
Mailing Address - Country:US
Mailing Address - Phone:404-843-3127
Mailing Address - Fax:404-843-3127
Practice Address - Street 1:1077 TENNYSON PL NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30319-1924
Practice Address - Country:US
Practice Address - Phone:404-843-3127
Practice Address - Fax:404-843-3127
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-13
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN078274363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily