Individual provider · Type 1 NPI

Penny R. Buckland

Nurse Practitioner · Boise, ID

NPI number 1194129411 Active

Practice location

8050 W Rifleman St
Boise, ID 83704-9004

Fax (833) 888-7145

Mailing address

500 SW 7th St Ste A205
Renton, WA 98057-2983

Other practice locations

  • 111 Bever Grade, Lapwai, ID 83540 · (208) 843-2271

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP1459A (ID)

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…

2 other providers at this address

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About NPI 1194129411

Penny R. Buckland's National Provider Identifier is 1194129411, issued on Oct 15, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boise, ID. The record was last updated on Mar 4, 2025.