Individual
MISS ANNETTE BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
27 ORCHARD ST, COS COB, CT 06807-2409
(203) 449-8219
Mailing address
PO BOX 112881, STAMFORD, CT 06911-2881
(203) 449-8219
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
106707
CT
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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