Michele Buckley

Individual provider Active NPI Licensed Practical Nurse · Mankato, MN

NPI 1932025418 · NPPES record last updated Jul 3, 2026

Key facts

NPI
1932025418
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
676612 (MN)
Practice address
125 Timberwolf CT
Mankato, MN 56001-6572
Phone
(507) 382-1829
NPI assigned
Jun 29, 2026
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse
Group: 193400000X SINGLE SPECIALTY GROUP
164W00000X 676612 MN Yes

Addresses

Primary practice location

125 Timberwolf CT
Mankato, MN 56001-6572

Mailing address

125 Timberwolf CT
Mankato, MN 56001-6572

Other providers in Mankato, MN

All providers in Mankato, MN · Licensed Practical Nurse in Minnesota

Sources for this page

Verify at the official NPI Registry.