Female

Michelle A. Buckley NP

Nurse Practitioner in Tampa, FL(View on Map)

Full Name

Michelle A. Buckley NP

NPI Number

1083040372

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/19/2013

Specialties

(Taxonomies)

Code

363L00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

APRN9365711

Contact
Information

Purpose

Mailing
Location

Address

408 INLET RD
1 TAMPA GENERAL CIR

City

Ruskin
Tampa

State

FL
FL

Postal Code

33570-4901
33606-3571

Country

US
US

Telephone Number

(815) 546-3683
(815) 546-3683

Identifiers

Identifier

003153898A

Identifier State

GA

Identifier Issuer

Unknown

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

mbuckley170669@direct.tgh.org

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

1 Tampa General CirTampa, FL336063571US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/31/2021

Provider Address

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