Individual provider · NPI-1

Susan Buffington

Nurse Practitioner, Pediatrics · St Petersburg, FL

NPI number1003263724

StatusActive

Last updated in NPPESMay 3, 2022

Details

NPI: 1003263724
Entity type: Individual (NPI-1)
Name: Susan Buffington
Sex: Female
Sole proprietor: Yes
Enumeration date: May 23, 2016
Certification date: May 3, 2022
Last updated: May 3, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LP0200X	Nurse Practitioner, Pediatrics	ARNP 9205104	FL	Yes

Practice location

501 6th Ave S
Dept Of Radiology
St Petersburg, FL 33701-4634

Phone 727-767-3318 · Fax 727-767-8002

Mailing address

501 6th Ave S
Dept Of Radiology
St Petersburg, FL 33701-4634

Phone 727-767-3318 · Fax 727-767-8002

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