NPI | 1144706714 |
---|---|
Former Name | MELISSA N BURDICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2310370) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MA RN2310370) |
363LG0600X Nurse Practitioner Gerontology (Licence: MA RN2310370) | |
Enumeration Date | 2018-07-17 |
Last Update Date | 2023-04-28 |