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NPI Code Detail

MEDICARE: MRS. CASEY BUCANTIS RN BSN OCN BMTCN CCM

MEDICARE:  MRS. CASEY  BUCANTIS  RN BSN OCN BMTCN CCM
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
1163W00000XRegistered NurseRN656860PA

General Provider Information

NPI Number : 1083571962
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CASEY BUCANTIS RN BSN OCN BMTCN CCM
Provider Business Mailing Address
First Line : 1424 OVERLOOK RD
Second Line :
City : YARDLEY
State : PA
Zip : 19067-5789
Country : US
Telephone Number : 484-553-2959
Fax Number :
Provider Business Practice Location Address
First Line : 1424 OVERLOOK RD
Second Line :
City : YARDLEY
State : PA
Zip : 19067-5789
Country : US
Telephone Number : 484-553-2959
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2026
Last Update Date : 01/05/2026

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Directions to “ MRS. CASEY BUCANTIS RN BSN OCN BMTCN CCM” Practice Location

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