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NPI Code Detail

MEDICARE: BRITTANY BUCKLEY

MEDICARE: BRITTANY BUCKLEY
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1558143214
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY BUCKLEY
Provider Business Mailing Address
First Line : 5516 SUPERIOR DR STE A
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-8022
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5516 SUPERIOR DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-8022
Country : US
Telephone Number : 225-246-2740
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2023
Last Update Date : 10/17/2023

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Directions to “ BRITTANY BUCKLEY ” Practice Location

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