Provider Demographics
NPI:1871204966
Name:BUFFALINI PRIMARY CARE, LLC
Entity type:Organization
Organization Name:BUFFALINI PRIMARY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRNP/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BUFFALINI
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:724-601-4581
Mailing Address - Street 1:14590 BARKSDALY WAY
Mailing Address - Street 2:
Mailing Address - City:KEENESBURG
Mailing Address - State:CO
Mailing Address - Zip Code:80643-4249
Mailing Address - Country:US
Mailing Address - Phone:724-601-4581
Mailing Address - Fax:
Practice Address - Street 1:606 S 4TH AVE
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-3202
Practice Address - Country:US
Practice Address - Phone:720-263-1384
Practice Address - Fax:724-765-2264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-08
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty