Maria Dolores Buenaventura, NP
Nurse Practitioner in Saint Louis, MO. Individual provider (NPI-1).
NPI number1669905642
StatusActive
Last updated in NPPESApr 6, 2017
Details
- NPI
- 1669905642
- Entity type
- Individual (NPI-1)
- Name
- Maria Dolores Buenaventura
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 6, 2017
- Last updated
- Apr 6, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2017006106 | MO | Yes |
Practice location
6209 Finn Rock CirSaint Louis, MO 63128-4204
Phone 314-456-3417
Mailing address
6209 Finn Rock CirSaint Louis, MO 63128-4204
Phone 314-456-3417
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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