Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michalia Colleen Buckley, CPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1942996194

Michalia Colleen Buckley, CPNP-PC is a Pediatric Nurse Practitioner in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2023.

Licensed in
MA
In the registry since
2023
Specialties on file
3

Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (617) 724-9040
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 202325670 (MA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 202325670 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MA)

Record details

NPI number1942996194
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-PC
Sole proprietorNo
NPI enumeratedApril 12, 2023
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023

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