Individual
DEBBIE BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1600 OVERLAND AVE, BURLEY, ID 83318-2434
(208) 219-4926
(208) 878-7073
Mailing address
714 N 1100 E, JACKSON, ID 83350-5038
(423) 641-6439
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
71344
ID
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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