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NPI Code Detail

MEDICARE: AMBER D BUCKS NP

MEDICARE:   AMBER D BUCKS  NP
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 PractitionerAPRN.CNP.0035800OH

General Provider Information

NPI Number : 1609631613
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER D BUCKS NP
Provider Business Mailing Address
First Line : 8900 ABBEY RD
Second Line :
City : NORTH ROYALTON
State : OH
Zip : 44133-1122
Country : US
Telephone Number : 864-752-5180
Fax Number :
Provider Business Practice Location Address
First Line : 1804 E 55TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-3602
Country : US
Telephone Number : 216-762-1237
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2024
Last Update Date : 02/03/2026

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