Leah Bueneman, PA-C
Physician Assistant in Mystic, Connecticut
1841835154- Practice location
- 55 Willow St, Mystic, CT 06355-2636
- Phone
- 860-572-6868
- Fax
- —
- Last updated
- April 8, 2022
Leah Bueneman is a Physician Assistant based in Mystic, CT. Leah Bueneman practices in Mystic, CT and has the professional credentials of PA-C. The NPI Number for Leah Bueneman is 1841835154 and holds a License No. 3372 (SC). The current practice location address for Leah Bueneman is 55 Willow St, Mystic, CT 06355-2636 and can be reached out via phone at 860-572-6868.
Provider Profile Details
- NPI Number
- 1841835154
- Provider Name
- Leah Bueneman
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 55 Willow St, Mystic, CT 06355-2636
- Phone Number
- 860-572-6868
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 11, 2019
- Last Update Date
- April 8, 2022
- Certification Date
- April 8, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Willow St
Mystic, CT 06355-2636 - City
- Mystic
- State
- Connecticut
- Zip
- 06355-2636
- Phone Number
- 860-572-6868
Provider Business Mailing Address Details
- Address
- 4 Windward Ln
Old Lyme, CT 06371-1861 - City
- Old Lyme
- State
- CT
- Zip
- 06371-1861
- Phone Number
- 410-310-3021
License Information
- License Number (1)
- 3372
- License State (1)
- SC
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 5639
- License State (2)
- CT
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Leah Bueneman, PA-C?
The NPI number of Leah Bueneman, PA-C is 1841835154. It was assigned on November 11, 2019 and is currently active in the NPPES registry.
What is the specialty of Leah Bueneman, PA-C?
Leah Bueneman, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in SC under license number 3372.
Where does Leah Bueneman, PA-C practice?
The practice location is 55 Willow St, Mystic, CT 06355-2636. The office can be reached at 860-572-6868 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1841835154 directly on the NPPES registry website.