National Provider Identifier

Tracy Amanda Buckley, RN

Tracy Amanda Buckley, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Cheektowaga, NY and a listed phone number of (716) 632-2936.

NPI 1770845026Cheektowaga, NYRegistered Nurse

Profile Overview

NPI
1770845026
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
June 12, 2012
Last Updated
June 12, 2012

Practice Location

  • 368 Ellen Dr
  • Cheektowaga, NY 14225-1323

Phone: (716) 632-2936

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1770845026
Entity Type
Individual
Last Name
Buckley
First Name
Tracy
Middle Name
Amanda
Credential
RN
Provider Other Last Name
Truelson
Provider Other First Name
Tracy
Provider Other Middle Name
Amanda
Provider Other Last Name Type Code
1
Mailing Street Address
368 Ellen Dr
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-1323
Mailing Country
US
Mailing Phone
(716) 632-2936
Practice Street Address
368 Ellen Dr
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-1323
Practice Country
US
Practice Phone
(716) 632-2936
Enumeration Date
June 12, 2012
Last Updated
June 12, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)