Individual
MONELLE LARISSA BURRUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
225 SW SCALEHOUSE LOOP UNIT 106, BEND, OR 97702-1272
(541) 728-8262
(541) 203-2202
Mailing address
2645 NW SKY VISTA CT, BEND, OR 97703-8604
(541) 728-8262
(541) 203-2022
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
202100185NP-PP
OR
Other
Enumeration date
01/07/2021
Last updated
11/20/2025
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