MEDICARE: MADISON HALEY BUCK DNP. DOCTOR OF NURSI

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	RN638577	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154666725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADISON HALEY BUCK DNP. DOCTOR OF NURSI

Provider Business Mailing Address
First Line	:	1430 DEKALB ST
Second Line	:
City	:	NORRISTOWN
State	:	PA
Zip	:	19401-3406
Country	:	US
Telephone Number	:	610-278-5117
Fax Number	:	610-278-5167

Provider Business Practice Location Address
First Line	:	1425 HORSHAM RD
Second Line	:
City	:	NORTH WALES
State	:	PA
Zip	:	19454-1320
Country	:	US
Telephone Number	:	215-370-3000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2012
Last Update Date	:	02/04/2026

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