Individual
BRENDA SUE BUCKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP, BC
Contact information
Practice address
5020 W BRISTOL RD, FLINT, MI 48507-2919
(800) 600-2009
(810) 600-0896
Mailing address
5020 W BRISTOL RD, FLINT, MI 48507-2919
(800) 600-2009
(810) 600-0896
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4714205380
MI
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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