Individual
STEPHANIE LYNN BUCKENHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-BC
Contact information
Practice address
300 BROOKLINE AVE, BOSTON, MA 02215-5403
(617) 667-7000
Mailing address
300 BROOKLINE AVE, BOSTON, MA 02215-5403
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN10011990
MA
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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