NPI 1043208838
Marla Dianne Buckles, FNP
Practice location
- Address
- 208 W Casablanca Ave 27 Medical Group Bldg 1400 Cannon Afb, Clovis, NM 88103-5009
- Phone
- (505) 784-6608
- Fax
- (505) 784-6028
- Mailing address
- 208 W Casablanca Ave 27 Medical Group Bldg 1400 Cannon Afb, Clovis, NM 88101-5014
Registered specialties
Family Nurse Practitioner
Primary
Registry record
- NPI
- 1043208838
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Oct 2005
- Record last updated
- 17 Oct 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.