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Contact Information

NICOLE BUCKINGHAM, APRN-CNP
3535 PENTAGON BLVD STE 400
BEAVERCREEK, OH45431-1705
 Phone: 855-500-2873
 Fax: 937-490-2267
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
 

Oncology

364SX0200X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for NICOLE BUCKINGHAM · (Female)

NPI # 1053906156
Status Active
Credentials APRN-CNP
Entity Individual
Enumeration date 03/02/2021
Last updated 12/19/2023 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • OH License # APRN.CNP.0028465
Hospital affiliation(s)
  • GRANDVIEW HOSPITAL & MEDICAL CENTER - (Acute Care)
    405 GRAND AVENUE
    DAYTON, OH 45405
  • SOIN MEDICAL CENTER,INDU & RAJ SOIN MEDICAL CENTER - (Acute Care)
    3535 PENTAGON PARK BLVD
    BEAVER CREEK, OH 45431
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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