Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TEQUILA BUCKHANON
Active Sole ProprietorTEQUILA BUCKHANON is a Home Health healthcare provider located in BROOKLYN CENTER, Minnesota. NPI 1477170777 is currently active in the NPPES registry. Verify at CMS.
Home Health · BROOKLYN CENTER, MN
Registration Details
- NPI Number
- 1477170777
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 2, 2020 (6.0891697238378 yrs)
- Last Updated
- Jul 2, 2020
- License
-
10827598 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5701 SHINGLE CREEK PKWY STE 250HBROOKLYN CENTER, MN, 554302344Browse MN providers · Browse ZIP 55430
- Phone
- 6126955614
- Primary Specialty
-
Home Health
251E00000X
- Additional Specialty
- Home Health
Other Home Health Providers in BROOKLYN CENTER, MN
| Name | Credential | NPI |
|---|---|---|
| MR. SYLVESTER A ONAIWU | REGISTERED NURSE | 1164079539 |
| OSWALD DEMA | — | 1265257877 |
| LUCY ADON FALLAH | — | 1982416483 |
| SADIA MOHAMED ISMAIL | — | 1841177326 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.