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NPI Code Detail

MEDICARE: MRS. ABIGAIL JEAN BUCK CPNP-PC

MEDICARE: MRS. ABIGAIL JEAN BUCK CPNP-PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse PractitionerAPRN.CNP.0041125OH

General Provider Information

NPI Number : 1689531162
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ABIGAIL JEAN BUCK CPNP-PC
Provider Business Mailing Address
First Line : 2000 REGENCY CT
Second Line :
City : TOLEDO
State : OH
Zip : 43623-3090
Country : US
Telephone Number : 419-475-5433
Fax Number :
Provider Business Practice Location Address
First Line : 2000 REGENCY CT
Second Line :
City : TOLEDO
State : OH
Zip : 43623-3090
Country : US
Telephone Number : 419-475-5433
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2026
Last Update Date : 01/07/2026

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