Individual
DALE BUCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
40 NOUVELLE WAY STE 848, NATICK, MA 01760-1571
(857) 222-4341
Mailing address
40 NOUVELLE WAY STE 848, NATICK, MA 01760-1571
(857) 222-4341
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
00000
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2273706
MA
Other
Enumeration date
07/20/2015
Last updated
06/20/2022
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