Individual
MARY CATHERINE BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2600 GREENWOOD RD, SHREVEPORT, LA 71103-3908
(318) 212-4000
Mailing address
28419 HIGHWAY 9, BIENVILLE, LA 71008-2856
(318) 617-9592
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
231227
LA
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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