Individual
KATHERINE BUCCIANTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP, ANP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
201402157NP-PP
OR
Other
Enumeration date
08/06/2014
Last updated
10/18/2023
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