Individual provider · NPI-1

Gabrielle Lauren Buckley

Registered Nurse, Psych/Mental Health, Adult · Cincinnati, OH

NPI number1265969737
StatusActive
Last updated in NPPESMay 16, 2017

Details

NPI
1265969737
Entity type
Individual (NPI-1)
Name
Gabrielle Lauren Buckley
Sex
Female
Sole proprietor
Yes
Enumeration date
May 16, 2017
Last updated
May 16, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WP0809X Registered Nurse, Psych/Mental Health, Adult421638OHYes

Other names

  • Gabrielle Lauren Mahone (Other Name)

Practice location

532 Maxwell Ave
Cincinnati, OH 45219-2408

Phone 513-559-2000

Mailing address

532 Maxwell Ave
Cincinnati, OH 45219-2408

Phone 513-559-2000

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