Provider Demographics
NPI:1528814779
Name:BUENGER, MICHELE LYN (RN, BSN, NBC-HWC)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:LYN
Last Name:BUENGER
Suffix:
Gender:F
Credentials:RN, BSN, NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 STONEY HILLS CT
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-1916
Mailing Address - Country:US
Mailing Address - Phone:972-836-9924
Mailing Address - Fax:
Practice Address - Street 1:308 STONEY HILLS CT
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-1916
Practice Address - Country:US
Practice Address - Phone:972-836-9924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXA-3859025171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach