PENNY R BUCKLAND

NEZ PERCE TRIBAL HEALTH AUTHORITY

Dr PENNY R BUCKLAND is a female medical professional, specializing in Nurse Practitioner. She graduated in 2014.

Contact

NEZ PERCE TRIBAL HEALTH AUTHORITY

313 3RD ST
KAMIAH
ID
835365054

Tel: 2086214946

PENNY R BUCKLAND Information

Npi 1194129411
Pac Id 8628392917
Professional Enrollment Id I20150114001733
Last Name BUCKLAND
First Name PENNY
Middle Name R
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2014
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name NEZ PERCE TRIBAL HEALTH AUTHORITY
Group Practice Pac Id 0941288302
Number Of Group Practice Members 12
Line 1 Street Address 313 3RD ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City KAMIAH
State ID
Zip Code 835365054
Phone Number 2086214946
Hospital Affiliation Ccn 1 130003
Hospital Affiliation Lbn 1 ST JOSEPH REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2 501332
Hospital Affiliation Lbn 2 TRI-STATE MEMORIAL HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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