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Individual

MARY ELIZABETH BURNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1401 JOHNSTON WILLIS DR, NORTH CHESTERFIELD, VA 23235-4730
(615) 982-5804
Mailing address
PO BOX 743294, ATLANTA, GA 30374-3294
(864) 220-4263
(864) 220-5836

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
18055
SC
363LA2200X
Adult Health Nurse Practitioner
APRN11023774
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP2889
SC
Enumeration date
03/14/2013
Last updated
11/04/2025
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