Individual
MRS. MEGAN MARIE BUUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2500 N DETROIT ST, LAGRANGE, IN 46761-1158
(260) 463-2133
(260) 463-3775
Mailing address
PO BOX 236, LAGRANGE, IN 46761-0236
(260) 463-2133
(260) 463-3775
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71007951A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71007951A
INDIANA STATE LICENSE
IN
Enumeration date
05/21/2018
Last updated
05/21/2018
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