Individual
JOAN BURRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
720 E NEW HAVEN AVE, MELBOURNE, FL 32901
(321) 924-4545
(321) 728-4168
Mailing address
930 S HARBOR CITY BLVD, MELBOURNE, FL 32901
(321) 725-5050
(321) 725-9100
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP 241952
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303126800
—
FL
Enumeration date
04/18/2006
Last updated
06/29/2010
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