Individual
MS. COLLEEN ELIZABETH BUCKLEY
Active
Individual
MS. COLLEEN ELIZABETH BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
673759
NY
363AS0400X
Surgical Physician Assistant
383281
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
383281
NY
Other
Enumeration date
08/16/2021
Last updated
07/07/2023
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