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Mary Rhorer Buckwalter

Nurse Practitioner in Baton Rouge, LA. Individual provider (NPI-1).

NPI number1013682012
StatusActive
Last updated in NPPESJan 26, 2023

Details

NPI
1013682012
Entity type
Individual (NPI-1)
Name
Mary Rhorer Buckwalter
Sex
Female
Sole proprietor
No
Enumeration date
Aug 11, 2021
Certification date
Oct 18, 2022
Last updated
Jan 26, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerAP221446LAYes

Practice location

9103 Jefferson Hwy
Baton Rouge, LA 70809-2440

Phone 225-927-1190 · Fax 225-927-0988

Mailing address

Po Box 35629
Dallas, TX 75235-0629

Phone 214-424-2200

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