Organization
BREANNA BUCCO NP & COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREANNA BUCCO (OWNER)
(330) 720-9558
Entity
Organization
Contact information
Practice address
751 PROVIDENCE CT APT 207, STREETSBORO, OH 44241-4033
(330) 720-9558
Mailing address
751 PROVIDENCE CT APT 207, STREETSBORO, OH 44241-4033
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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