MEDICARE: MRS. AMY L BUCK FNP

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	363LF0000X	Family Nurse Practitioner	APN 0991677-NP	CO
2	363LF0000X	Family Nurse Practitioner	AP12149	TX
3	363LF0000X	Family Nurse Practitioner	200526	VI

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
2	375544902	OTHER	TX	CSHCN

General Provider Information

NPI Number	:	1275826547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY L BUCK FNP

Provider Business Mailing Address
First Line	:	7703 FLOYD CURL DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3901
Country	:	US
Telephone Number	:	210-450-6120
Fax Number	:

Provider Business Practice Location Address
First Line	:	4100 SION FARM SHOPP CTR STE 1
Second Line	:
City	:	CHRISTIANSTED
State	:	VI
Zip	:	00820-4433
Country	:	US
Telephone Number	:	340-718-3263
Fax Number	:	866-525-8144

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

Provider Enumeration Date	:	05/19/2011
Last Update Date	:	08/19/2025

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