Individual
DIANE WALKER BUCKNILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
SENIOR HEALTH UNIT, CP2 502, 165 CAMBRIDGE ST, BOSTON, MA 02114
(617) 726-4600
Mailing address
SENIOR HEALTH UNIT, CP2 502, 165 CAMBRIDGE ST, BOSTON, MA 02114
(617) 726-4600
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
123257
MA
Other
Enumeration date
07/12/2006
Last updated
09/06/2007
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