Individual
HEIDI ANN BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,BC
Contact information
Practice address
5563 RAIDERS RD, FRAZEYSBURG, OH 43822-9431
(740) 828-4100
Mailing address
2505 KENLO WOODS DR, NASHPORT, OH 43830-9756
(740) 453-7318
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
081171
OH
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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