Individual provider · Type 1 NPI

Nicole Buckingham, APRN-CNP

Gerontology Nurse Practitioner · Beavercreek, OH

NPI number 1053906156 Active

Practice location

3535 Pentagon Blvd Ste 400
Beavercreek, OH 45431-1705

Fax (937) 490-2267

Mailing address

1 Prestige Pl Ste 550
Miamisburg, OH 45342-6115

Other practice locations

  • 600 W Main St Ste 103, Troy, OH 45373-3384 · (855) 500-2873

Specialties and licenses

TaxonomyCodeLicense
Oncology Clinical Nurse Specialist 364SX0200XAPRN.CNP.0028465 (OH)
Gerontology Nurse Practitioner Primary 363LG0600XAPRN.CNP.0028465 (OH)

Gerontology Nurse Practitioner: Definition to come...

5 other providers at this address

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About NPI 1053906156

Nicole Buckingham, APRN-CNP's National Provider Identifier is 1053906156, issued on Mar 2, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Beavercreek, OH. The record was last updated on Dec 19, 2023.