Individual
DEBORAH BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
171 FILLY DRIVE, NORTH WALES, PA 19454
(215) 393-7379
Mailing address
171 PHILLY DRIVE, NORTH WALES, PA 19454
(215) 393-7379
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
TP004991C
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BU982336
PA BLUE SHIELD
PA
Enumeration date
04/18/2007
Last updated
11/14/2007
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