Individual
MS. ANITRA TRINETTE BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
3615 19TH ST STE 162, LUBBOCK, TX 79410-1203
(806) 725-4130
(806) 723-7137
Mailing address
3615 19TH ST, LUBBOCK, TX 79410-1209
(806) 725-1011
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP136835
TX
363LA2200X
Adult Health Nurse Practitioner
AP136835
TX
363LG0600X
Gerontology Nurse Practitioner
AP136835
TX
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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