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Individual

DR. BREANNA M BUCCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, CPNP-PC

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
(330) 720-9558

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
807501
NY
163W00000X
Registered Nurse
RN.454443
OH
163W00000X
Registered Nurse
RN713371
PA
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.026102
OH
363LP0200X
Pediatric Nurse Practitioner
SP022093
PA

Other

Enumeration date
05/17/2021
Last updated
05/17/2021
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