Individual
LANA BUKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 N FEDERAL HWY STE 204, HALLANDALE BEACH, FL 33009-4300
(954) 899-0808
Mailing address
1350 15TH ST APT 15M, FORT LEE, NJ 07024-2030
(908) 670-3322
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00761700
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
403604
NY
363LP2300X
Primary Care Nurse Practitioner
26NJ00761700
NJ
Other
Enumeration date
11/16/2017
Last updated
03/02/2023
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