Provider Demographics
NPI:1669479002
Name:BUCKNER, FRANCINE G (ARNP)
Entity Type:Individual
Prefix:MISS
First Name:FRANCINE
Middle Name:G
Last Name:BUCKNER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3815 S OTHELLO ST STE 100229
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-3510
Mailing Address - Country:US
Mailing Address - Phone:512-721-2838
Mailing Address - Fax:206-212-0008
Practice Address - Street 1:3815 S OTHELLO ST STE 100229
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-3510
Practice Address - Country:US
Practice Address - Phone:512-721-2838
Practice Address - Fax:206-212-0008
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAR600370372084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR227698Medicaid
OR118289Medicare ID - Type Unspecified
OR227698Medicaid