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Individual
MOIRIAH BURDO
Active
Individual
MOIRIAH BURDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP027287
PA
363LA2200X
Adult Health Nurse Practitioner
SP027287
PA
363LG0600X
Gerontology Nurse Practitioner
SP027287
PA
363LP2300X
Primary Care Nurse Practitioner
SP027287
PA
Other
Enumeration date
03/14/2023
Last updated
03/23/2023
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