Individual
MS. MARJORIE HELEN BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNCS
Contact information
Practice address
2211 LOMAS BLVD NE, BOX 200, ALBUQUERQUE, NM 87106-2745
(505) 272-4763
(505) 272-0690
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R10817
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VNM00721
—
NM
Enumeration date
11/09/2005
Last updated
05/19/2014
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