Individual
MS. MELANIE DENISE BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
500 DAMONTE RANCH PKWY, SUITE 703, RENO, NV 89521-5912
(775) 398-4600
(775) 398-4606
Mailing address
500 DAMONTE RANCH PKWY, SUITE 703, RENO, NV 89521-5912
(775) 398-4600
(775) 398-4606
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1059
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA1059
PA LICENSE
NV
01
—
PA19322
PA LICENSE
CA
Enumeration date
09/25/2007
Last updated
08/11/2014
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