Individual
PASQUA ROSE BUCKLEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
301 FISHER STREET, BILOXI, MS 39534
(228) 376-4879
(228) 376-0172
Mailing address
301 FISHER STREET, BILOXI, MS 39534
(228) 376-4879
(228) 376-0172
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
R549533
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123966
—
MS
Enumeration date
08/12/2005
Last updated
09/12/2012
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