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Contact Information

MARLA D BUCKLES, FNP
208 W CASABLANCA AVE
27 MEDICAL GROUP BLDG 1400 CANNON AFB
CLOVIS, NM88103-5009
 Phone: 505-784-6608
 Fax: 505-784-6028
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARLA D BUCKLES · (Female)

NPI # 1043208838
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 10/06/2005
Last updated 10/17/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 241753
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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