Stephanie Buckmaster
Licensed Vocational Nurse in Tyler, TX. Individual provider (NPI-1).
NPI number1003523937
StatusActive
Last updated in NPPESOct 31, 2022
Details
- NPI
- 1003523937
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Buckmaster
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 31, 2022
- Certification date
- Oct 31, 2022
- Last updated
- Oct 31, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 186537 | TX | Yes |
Practice location
9846 Hwy 31 ETyler, TX 75705-2329
Phone 903-525-3714
Mailing address
9846 Hwy 31 ETyler, TX 75705-2329
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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