Annette Buckley, RN
Individual provider Active NPI Registered Nurse · Cos Cob, CT
NPI 1235480682 · NPPES record last updated Sep 25, 2012
Key facts
- NPI
- 1235480682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 106707 (CT)
- Practice address
- 27 Orchard St
Cos Cob, CT 06807-2409 - Phone
- (203) 449-8219
- NPI assigned
- Sep 25, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106707 | CT | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 106707 | CT | Yes |
Addresses
Primary practice location
27 Orchard St
Cos Cob, CT 06807-2409
Mailing address
PO Box 112881
Stamford, CT 06911-2881
Phone (203) 449-8219
Other providers in Cos Cob, CT
- Susan Benner
- Orly Berkoff
- Sonia N/a Binfoh
- Meryl Brownstein
- Bruce Molinelli MD LLC
- Caitlin M. Ingraham, M.S., CCC-SLP
- Caitlyn Pearson-Dunn LLC
- Jennifer Callaghan
- Babette B Caraccio
- Jessica Ceci
All providers in Cos Cob, CT · Registered Nurse in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.