Individual
WILLIAM MAXIME BURON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
3550 S 4TH ST, LEAVENWORTH, KS 66048-5071
(913) 680-6220
(816) 943-2767
Mailing address
3500 S. 4TH STREET, ATTN: PROVIDER ENROLLMENT CREDENTIALING, LEAVENWORTH, KS 66048
(913) 680-6220
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
137590
MO
363LF0000X
Family Nurse Practitioner
A01527
AR
363LG0600X
Gerontology Nurse Practitioner
Primary
2018031144
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154714758
—
AR
Enumeration date
05/04/2006
Last updated
12/27/2018
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