Individual
DEVON BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
316 MANATEE AVE W, BRADENTON, FL 34205-8805
(941) 748-2277
(941) 748-1958
Mailing address
367 S. GULPH RD, ATT IPM CREDENTIALING, KING OF PRUSSIA, PA 19406-3121
(610) 382-4943
(610) 878-3965
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
26NJ00661100
NJ
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP9457878
FL
363LA2200X
Adult Health Nurse Practitioner
26NJ00661100
NJ
Other
Enumeration date
05/27/2016
Last updated
10/26/2017
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