Individual
CHARLOTTE BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
454 MCDOWELL ST, WELCH, WV 24801-2029
(304) 436-8675
Mailing address
454 MCDOWELL ST, WELCH, WV 24801-2029
(304) 673-3686
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
52962
WV
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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