Provider Demographics
NPI:1528858289
Name:BUCKI, DANIELLE MELISSA
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:MELISSA
Last Name:BUCKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 N 2ND ST STE 211
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55411-2244
Mailing Address - Country:US
Mailing Address - Phone:507-640-0402
Mailing Address - Fax:
Practice Address - Street 1:2400 N 2ND ST STE 211
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55411-2244
Practice Address - Country:US
Practice Address - Phone:507-640-0402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2466909163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse