Individual
SUSAN R. BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
246 PLEASANT ST, SUITE G2, CONCORD, NH 03301-7539
(603) 224-3388
(603) 225-3557
Mailing address
246 PLEASANT ST, SUITE G2, CONCORD, NH 03301-7539
(603) 224-3388
(603) 225-3557
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
039259-23-03
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30340222
—
NH
01
—
3222724
CIGNA PIN
NH
01
—
4006777Y0NH04
ANTHEM ACES #
NH
01
—
S83646
ANTHEM REFERRING UPIN
NH
Enumeration date
02/23/2006
Last updated
03/25/2016
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