| NPI | 1568822401 |
|---|---|
| Professional Name | MATT BURROUS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR A004724) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: AR RN080934) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: AR RN080934) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: AR RN080934) | |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-04-19 |