Individual
PENNY R BUCKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8050 W RIFLEMAN ST, BOISE, ID 83704-9004
(877) 522-1275
(833) 888-7145
Mailing address
500 SW 7TH ST STE A205, RENTON, WA 98057-2983
(877) 522-1275
(833) 888-7145
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP1459A
ID
Other
Enumeration date
10/15/2014
Last updated
03/04/2025
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