DESAREE FOWLER BUCKMAN


Address: 4401 E Lohman Ave, Las Cruces, NM 88011-8267
Phone: 5755329077

DESAREE FOWLER BUCKMAN (NPI# 1124566179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124566179
Entity Type Individual
Full Name DESAREE FOWLER BUCKMAN
Other Name DESAREE FOWLER
Credential PNP-PC
Practice Address 4401 E Lohman Ave
Las Cruces
NM 88011-8267
Practice Telephone 5755329077
Mailing Telephone 5755329077
Enumeration Date 2017-02-09
Last Update Date 2020-09-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
CNP-03137 NM Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4401 E LOHMAN AVE
City LAS CRUCES
State NM
Zip Code 88011-8267

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942288147 Randy Boyer Physician Assistant 4401 E Lohman Ave, Las Cruces, NM 88011-8267 2006-01-06
1093210932 Shimon Thomas Nurse Practitioner 4401 E Lohman Ave, Las Cruces, NM 88011-8267 2018-03-23
1568992600 Pain & Spine Clinic of New Mexico PC Clinic/Center 4401 E Lohman Ave, Las Cruces, NM 88011 2017-06-12
1144697277 Cristianna Garcia Nurse Practitioner 4401 E Lohman Ave, Las Cruces, NM 88011-8267 2015-08-24
1245653351 Yvonne Basil Nurse Practitioner 4401 E Lohman Ave, Las Cruces, NM 88011-8267 2014-01-24
1720400682 Kristina Navarro Nurse Practitioner 4401 E Lohman Ave, Las Cruces, NM 88011-8267 2014-01-13
1043530132 Gretchen Struemph Pediatrics 4401 E Lohman Ave, Las Cruces, NM 88011-8267 2010-06-11
1063490175 Hasan Adnan Pediatrics 4401 E Lohman Ave, Las Cruces, NM 88011-8267 2006-01-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356954648 Asc of The Heart Institute Internal Medicine 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 2020-08-26
1104449206 Kruti Gitesh Shah Student in an Organized Health Care Education/Training Program Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 2020-05-22
1831719368 Borna Mansouri Student in an Organized Health Care Education/Training Program 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 2020-04-24
1306474408 Madonna Petula Phillip Student in an Organized Health Care Education/Training Program 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 2020-04-01
1285267849 Back In Action Therapy of Las Cruces Occupational Therapist 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 2020-02-21
1649818725 Kimberly Ann Smetzer Registered Nurse 4401 East Lohman, Building 5, Las Cruces, NM 88011 2019-12-19
1548806375 Melinda Michelle Fowler Social Worker 2605 Terrace Drive, Las Cruces, NM 88011 2019-11-27
1871134692 Rio Grande Hematology and Oncology, LLC Internal Medicine 4391 East Lohman Ave., Las Cruces, NM 88011 2019-10-02
1972083640 Lorianna R. Narvaez Counselor 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 2018-08-21
1215416524 Aday Orthodontics, PC Dentist 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 2018-08-08
Find all providers in zip 88011

Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124642772 Little Steps Pediatrics LLC Nurse Practitioner 1990 E Lohman Ave Ste A, Las Cruces, NM 88001-3117 2020-05-29
1558865980 Kirsten Shelby Guerra Nurse Practitioner 4401 E. Lohman Ave ., Suite A, Las Cruces, NM 88011 2018-03-21
1093210932 Shimon Thomas Nurse Practitioner 4401 E Lohman Ave, Las Cruces, NM 88011-8267 2018-03-23
1871091876 Annette Michelle Golucke Nurse Practitioner 575 S Alameda Blvd, Las Cruces, NM 88005 2018-01-25
1053854810 Meghan Robinson Nurse Practitioner 4351 E Lohman Ave Ste 100, Las Cruces, NM 88011-8258 2016-11-28
1881066603 Kristin Thornsberry Nurse Practitioner 4371 E Lohman Ave, Las Cruces, NM 88011-8443 2015-10-21
1144697277 Cristianna Garcia Nurse Practitioner 4401 E Lohman Ave, Las Cruces, NM 88011-8267 2015-08-24
1245653351 Yvonne Basil Nurse Practitioner 4401 E Lohman Ave, Las Cruces, NM 88011-8267 2014-01-24
1720400682 Kristina Navarro Nurse Practitioner 4401 E Lohman Ave, Las Cruces, NM 88011-8267 2014-01-13
1093047995 Elizabeth E Bidwell Nurse Practitioner 4351 E Lohman Ave, Suite 301, Las Cruces, NM 88011-8259 2010-02-03
Find all providers in LAS CRUCES

Competitor

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City LAS CRUCES
Zip Code 88011

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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