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Brian Scott Bucacci, RN

Registered Nurse in Maple Heights, OH. Individual provider (NPI-1).

NPI number1699520668
StatusActive
Last updated in NPPESApr 22, 2024

Details

NPI
1699520668
Entity type
Individual (NPI-1)
Name
Mr. Brian Scott Bucacci
Credential
RN
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 22, 2024
Certification date
Apr 22, 2024
Last updated
Apr 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered NurseRN-489892OHYes

Practice location

18415 Highland Dr
Maple Heights, OH 44137-1553

Phone 864-305-7741

Mailing address

18415 Highland Dr
Maple Heights, OH 44137-1553

Phone 864-305-7741

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