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Individual
TAMMY SUE BURTON
Active
Individual
TAMMY SUE BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.18341-NP
OH
363LF0000X
Family Nurse Practitioner
APRN42951-FNP-BC
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0148929
—
OH
05
—
3810027316
—
WV
01
—
P01604255
RAILROAD MEDICARE - MHCPI
OH
Enumeration date
08/08/2013
Last updated
01/13/2021
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