Active NPIIndividual provider

Lisa M Buckley, NP

Nurse Practitioner, Acute Care in Worcester, Massachusetts

NPI Number1679959480
Practice location
55 Lake Ave N, Worcester, MA 01655-0002
Fax
—
Last updated
March 8, 2022

Lisa Marie Buckley is a Nurse Practitioner, Acute Care based in Worcester, MA. Lisa Marie Buckley practices in Worcester, MA and has the professional credentials of NP. The NPI Number for Lisa Marie Buckley is 1679959480 and holds a License No. RN283523 (MA). The current practice location address for Lisa Marie Buckley is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 774-441-8270.

Provider Profile Details

NPI Number
1679959480
Provider Name
Lisa Marie Buckley
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
55 Lake Ave N, Worcester, MA 01655-0002
Phone Number
774-441-8270
Primary Taxonomy
Nurse Practitioner, Acute Care · 363LA2100X
Sole Proprietor
No
Provider Enumeration Date
August 4, 2015
Last Update Date
March 8, 2022
Certification Date
March 8, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Lake Ave N
Worcester, MA 01655-0002
Zip
01655-0002
Phone Number
774-441-8270
Worcester, MA 01655Get directions →

Provider Business Mailing Address Details

Address
Po Box 415348
Boston, MA 02241-5348
City
Boston
State
MA
Zip
02241-5348
Phone Number
800-225-8885
Fax Number
508-334-1977

License Information

License Number (1)
RN283523
License State (1)
MA
Taxonomy (1)
Nurse Practitioner · 363L00000X
License Number (2)
RN283523
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Gerontology · 363LG0600X
License Number (3)
RN283523
License State (3)
MA
Taxonomy (3)
Nurse Practitioner, Acute Care · 363LA2100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lisa M Buckley, NP?

The NPI number of Lisa M Buckley, NP is 1679959480. It was assigned on August 4, 2015 and is currently active in the NPPES registry.

What is the specialty of Lisa M Buckley, NP?

Lisa M Buckley, NP is registered under the primary taxonomy Nurse Practitioner, Acute Care (code 363LA2100X), licensed in MA under license number RN283523.

Where does Lisa M Buckley, NP practice?

The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 774-441-8270 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679959480 directly on the NPPES registry website.

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