Individual provider · Type 1 NPI

Genevieve Therese Buckley, FNP-C

Nurse Practitioner · Grass Valley, CA

NPI number 1104163484 Active

Practice location

280 Sierra College Dr Ste 120
Grass Valley, CA 95945-5763

Mailing address

3400 Data Dr, Attn: Credentialing/payer Enrollment
Rancho Cordova, CA 95670-7956

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X22688 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104163484

Genevieve Therese Buckley, FNP-C's National Provider Identifier is 1104163484, issued on Jan 7, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grass Valley, CA. The record was last updated on Aug 17, 2017.