Individual
PENNY PALM BUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-AC
Contact information
Practice address
700 SW HIGGINS AVE STE 102, MISSOULA, MT 59803-1489
(406) 540-4302
(406) 540-4306
Mailing address
3820 SNOWDRIFT LN, MISSOULA, MT 59808-5902
(406) 529-4922
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
NUR-APRN-APP-178863
MT
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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