PENNY R BUCKLAND

BOISE, ID
NPI1194129411
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  NP1459A)
Enumeration Date2014-10-15
Last Update Date2024-11-12
Business Address
PENNY R BUCKLAND
8050 W RIFLEMAN ST
BOISE, ID 83704-9004
Phone number: 877-522-1275
Mailing Address
PENNY R BUCKLAND
P.O. BOX 367 111 BEVER GRADE
LAPWAI, ID 83540
Phone number: