# MRS. VIRGINIA ANN BUCCOLA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1124398482
- **Gender:** F
- **Credential:** PMHNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN00125750 | WA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP60296557 | WA | Yes |

## Other

- **Enumeration date:** 01/04/2012
- **Last updated:** 01/29/2019