Individual
KATIE BUCKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 602-3277
(651) 312-3188
Mailing address
110 1ST AVE NE, #703, MINNEAPOLIS, MN 55413-2235
(651) 602-3277
(651) 312-3188
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1861374
MN
Other
Enumeration date
10/29/2014
Last updated
11/03/2014
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