# TAMMY SUE BURTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1912339292
- **Gender:** F
- **Credential:** NP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | COA.18341-NP | OH | Yes |
| 363LF0000X | Family Nurse Practitioner | APRN42951-FNP-BC | WV | — |

## Other

- **Enumeration date:** 08/08/2013
- **Last updated:** 01/13/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0148929 | — | OH |
| 05 | — | 3810027316 | — | WV |
| 01 | — | P01604255 | RAILROAD MEDICARE - MHCPI | OH |