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NPI Code Detail

MEDICARE: ERICA FAITH BUCKLER PMHNP-BC

MEDICARE: ERICA FAITH BUCKLER PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerR187543MD

General Provider Information

NPI Number : 1891628624
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA FAITH BUCKLER PMHNP-BC
Provider Business Mailing Address
First Line : 39458 THOMAS DR
Second Line :
City : MECHANICSVILLE
State : MD
Zip : 20659-3625
Country : US
Telephone Number : 301-249-8100
Fax Number :
Provider Business Practice Location Address
First Line : 4000 MITCHELLVILLE RD STE A414
Second Line :
City : BOWIE
State : MD
Zip : 20716-3142
Country : US
Telephone Number : 301-249-8100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ ERICA FAITH BUCKLER PMHNP-BC” Practice Location

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