MRS. TAMARA MOROUSE BUCKLEY M.S.N.P.N.P. NPI 1235177296

NPI Information

NPI: 1235177296
Provider Name: MRS. TAMARA MOROUSE BUCKLEY, M.S.N.,P.N.P.
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Organization: PRIVIA MEDICAL GROUP, LLC

PECOS Registration: Yes

Address:
344 UNIVERSITY BLVD W
STE 112
SILVER SPRING, MD
ZIP 20901
Phone: (301) 681-6730
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MRS. Tamara Morouse Buckley, M.S.N.,P.N.P. is a pediatrics nurse practitioner in Silver Spring, MD with 41 years of experience. MRS. Tamara Morouse Buckley, M.S.N.,P.N.P. NPI is 1235177296. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

344 UNIVERSITY BLVD W
STE 112
SILVER SPRING, MD
ZIP 20901-948
Phone: (301) 681-6730
Fax: (301) 681-4268

The NPI 1235177296 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	R092856	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5666-0004	OTHER	DISTRICT OF COLUMBIA	BLUE CROSS/BLUE SHIELD
2	33194	OTHER	MARYLAND	PRIORITY PRTNERS MCO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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