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Individual

MRS. TAMARA MOROUSE BUCKLEY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.S.N.,P.N.P.

Contact information

Practice address
344 UNIVERSITY BLVD W, STE 112, SILVER SPRING, MD 20901-1948
(301) 681-6730
(301) 681-4268
Mailing address
344 UNIVERSITY BLVD W, STE 112, SILVER SPRING, MD 20901-1948
(301) 681-6730
(301) 681-4268

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R092856
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33194
PRIORITY PRTNERS MCO
MD
01
5666-0004
BLUE CROSS/BLUE SHIELD
DC
Enumeration date
06/03/2006
Last updated
07/08/2007
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