NPI Profile for NICOLE BUCKINGHAM in BEAVERCREEK, OH.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner | |
Oncology |
364SX0200X | 89 | Certified Clinical Nurse Specialist |
| 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 |
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| Hospital affiliation(s) |
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NICOLE BUCKINGHAM
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