Individual
ANITA K BUCKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
324 PARK 40 NORTH BLVD, STE B, KNOXVILLE, TN 37923
(865) 692-3462
(865) 692-3463
Mailing address
7918 VERONA LN, POWELL, TN 37849-5382
(865) 947-0146
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12360
TN
Other
Enumeration date
11/01/2006
Last updated
04/19/2016
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