Most Relevant Information
Provider Data
| NPI Number: | 1003264292 |
| Provider Name: | DEVON BUCK APN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | 26NJ00661100 |
Most Important Dates
| Enumeration Date: | 05/27/2016 |
| Last Updated: | 10/26/2017 |
Provider Practice Location
316 MANATEE AVE W
BRADENTON
FL
342058805
Practice Location Phone/Fax
| Phone: | 9417482277 |
| Fax: | 9417481958 |
Provider Mailing Location
367 S. GULPH RD
ATT IPM CREDENTIALING
KING OF PRUSSIA
PA
194063121
Provider Mailing Phone/Fax
| Phone: | 6103824943 |
| Fax: | 6108783965 |