| NPI | 1407288053 |
|---|---|
| Former Name | PATRICE MARLENE BURNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11013337) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC APRN18610) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9232802) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2016035060) | |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2024-04-24 |