Individual
DAWN BUCKMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
70 SHERRY LN, SUITE 202, PRINCE FREDERICK, MD 20678-3275
(410) 414-9229
(410) 414-9339
Mailing address
196 THOMAS JOHNSON DR, SUITE 215, FREDERICK, MD 21702-4397
(301) 668-9988
(240) 782-1013
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R133890
MD
363LF0000X
Family Nurse Practitioner
R133890
MD
Other
Enumeration date
10/29/2007
Last updated
03/05/2015
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