Buckles, Marla Dianne

Buckles, Marla Dianne is an individual health care provider with primary practice located at 208 W Casablanca Ave 27 Medical Group Bldg 1400 Cannon Afb, Clovis NM 88103-5009. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Buckles, Marla Dianne can be contacted via phone (505) 784-6608.

Contact Information

Primary practice address
208 W Casablanca Ave 27 Medical Group Bldg 1400 Cannon Afb Clovis NM 88103-5009
Phone: (505) 784-6608
Fax: (505) 784-6028
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 241753 Texas

Profile Details

NPI number 1043208838
LBN Legal business name Buckles, Marla Dianne
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Oct 17th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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