| NPI | 1972136919 |
|---|---|
| Other Name | BURGEONING HEALTH PROVIDERS, LLC |
| Entity Type | Organization |
| Authorized Contact | MALINDA BUTLER Manager 317-659-5905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2021-09-11 |