Individual provider · Type 1 NPI
Michalia Colleen Buckley, CPNP-PC
Nurse Practitioner · Boston, MA
Practice location
55 Fruit St
Boston, MA 02114-2621
Mailing address
55 Fruit Street
Boston, MA 02241-2696
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 202325670 (MA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Nurse Practitioner Primary | 363L00000X | 202325670 (MA) |
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 1942996194
Michalia Colleen Buckley, CPNP-PC's National Provider Identifier is 1942996194, issued on Apr 12, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boston, MA. The record was last updated on Aug 3, 2023.