Individual
MRS. MARY LYNN BURKHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4750 WESLEY AVE, CINCINNATI, OH 45212-2244
(513) 531-5110
(513) 531-1327
Mailing address
205 JEFFERSON AVE, CINCINNATI, OH 45217-1708
(513) 641-4375
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
RN251979
OH
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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