Whalio Doctors

NPI 1043208838

Marla Dianne Buckles, FNP

Practitioner Family Nurse Practitioner Clovis, NM

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
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 241753 (TX)

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.