Individual
BUCK J DARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
440 WOODWARD AVE, IRON MOUNTAIN, MI 49801-4631
(906) 776-9040
(906) 774-5950
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7238
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
10119-33
WI
363LF0000X
Family Nurse Practitioner
Primary
4704305785
MI
363LF0000X
Family Nurse Practitioner
4704305785
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F09190896
AMERICAN ACADEMY OF NURSE PRACTITIONERS
—
Enumeration date
09/20/2019
Last updated
10/06/2021
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