Individual provider · Type 1 NPI

William Maxime Buron Iii, ANP

Gerontology Nurse Practitioner · Leavenworth, KS

NPI number 1013965862 Active

Practice location

3550 S 4th St
Leavenworth, KS 66048-5071

Fax (816) 943-2767

Mailing address

3500 S. 4th Street, Attn: Provider Enrollment Credentialing
Leavenworth, KS 66048

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XA01527 (AR)
Family Nurse Practitioner 363LF0000X137590 (MO)
Gerontology Nurse Practitioner Primary 363LG0600X2018031144 (MO)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1013965862

William Maxime Buron Iii, ANP's National Provider Identifier is 1013965862, issued on May 4, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Leavenworth, KS. The record was last updated on Dec 27, 2018.