Individual
SUSAN JOAN BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
938 E ZERO ST, SUITE B, AINSWORTH, NE 69210-1555
(402) 382-3145
(402) 382-3147
Mailing address
938 E ZERO ST, SUITE B, AINSWORTH, NE 69210-1555
(402) 382-3145
(402) 382-3147
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110027
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025324900
—
NE
Enumeration date
10/24/2006
Last updated
07/08/2007
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