Individual
KARISSA KAY BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2200 NW 26TH ST, OWATONNA, MN 55060-5503
(507) 456-2180
Mailing address
2200 NW 26TH ST, OWATONNA, MN 55060-5503
(507) 456-2180
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9507
MN
363LF0000X
Family Nurse Practitioner
Primary
9507
MN
Other
Enumeration date
09/08/2022
Last updated
09/22/2022
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