| Doctor Name: | NOBU-ANN BUCKLEY |
| NPI Number: | 1184084402 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | AP60632791 |
| Business Practice Address: | 18500 156th Ave Ne Suite 100 Woodinville, WA - 980724459 |
| Business Phone Number: | 4254810429 |
| Business Fax Number: | 4254830660 |
| Mailing Address: | 18500 156th Ave Ne, Suite 100 WOODINVILLE |
| State: | WA |
| Postal Code: | 980724459 |
| Phone Number: | 4254810429 |
| Fax Number: | 4254830660 |
| NPI Enumeration Date: | 02/29/2016 |
| NPI Last Update Date: | 02/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | AP60632791 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |