Individual
NICOLE BUCKINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
3535 PENTAGON BLVD STE 400, BEAVERCREEK, OH 45431-1705
(855) 500-2873
(937) 490-2267
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(937) 522-8068
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.0028465
OH
364SX0200X
Oncology Clinical Nurse Specialist
APRN.CNP.0028465
OH
Other
Enumeration date
03/02/2021
Last updated
12/19/2023
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