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Organization
BURGEONING HEALTH PROVIDERS
Active
Organization
BURGEONING HEALTH PROVIDERS
Active
Other names
BURGEONING HEALTH PROVIDERS, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MALINDA BUTLER NP-BC (MANAGER)
(317) 659-5905
Entity
Organization
Contact information
Practice address
646 MASSACHUSETTS AVE, INDIANAPOLIS, IN 46204-1607
(317) 659-5095
(317) 350-0043
Mailing address
2345 N ALABAMA ST, INDIANAPOLIS, IN 46205-4320
(317) 659-5905
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300021924
—
IN
Enumeration date
02/18/2020
Last updated
09/11/2021
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