Individual
ANYA BUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
499 W PLUMB LN STE 101, RENO, NV 89509-3778
(775) 369-2106
(775) 218-4488
Mailing address
499 W PLUMB LN STE 101, RENO, NV 89509-3778
(775) 369-2106
(775) 218-4488
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
789473
CA
363LF0000X
Family Nurse Practitioner
Primary
850287
NV
363LF0000X
Family Nurse Practitioner
AP61339903
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
789473
RN LICENSE
CA
Enumeration date
04/11/2022
Last updated
04/24/2023
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