Corey Buller, FNP-C

Individual provider Active NPI Family Nurse Practitioner · Bellevue, KY

NPI 1356914964 · NPPES record last updated Jul 21, 2021

Key facts

NPI
1356914964
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
0028046 (OH)
Practice address
119 Fairfield Ave
Bellevue, KY 41073-1184
Phone
(859) 547-1634
NPI assigned
Jul 21, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0028046OHMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0028046 OH Yes

Addresses

Primary practice location

119 Fairfield Ave
Bellevue, KY 41073-1184

Mailing address

119 Fairfield Ave
Bellevue, KY 41073-1184

Other providers in Bellevue, KY

All providers in Bellevue, KY · Family Nurse Practitioner in Kentucky

Sources for this page

Verify at the official NPI Registry.