Penny R Buckland

NPI #1194129411 in Boise, Idaho

Provider Information

NPI Number: 1194129411
Entity Type: Individual
Name: Penny R Buckland
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Enumeration Date: Oct 15, 2014
Last Updated: Mar 4, 2025

Practice Location

Address: 8050 W RIFLEMAN ST
City: Boise
State: Idaho
ZIP Code: 83704-9004
Phone: (877) 522-1275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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