Individual provider · NPI-1

Effie Mae Buckley, R.N., M.N.

Registered Nurse, General Practice · San Jose, CA

NPI number1154464659
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1154464659
Entity type
Individual (NPI-1)
Name
Effie Mae Buckley
Credential
R.N., M.N.
Sex
Female
Sole proprietor
No
Enumeration date
Feb 14, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0000X Registered Nurse, General PracticeRN265730CAYes

Practice location

7174 Santa Teresa Blvd
A-6
San Jose, CA 95139-1350

Phone 408-363-1498 · Fax 408-363-1599

Mailing address

7174 Santa Teresa Blvd.
A-6
San Jose, CA 95139-1135

Phone 408-363-1498 · Fax 408-363-1599

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