Individual
DIANE M BURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, APN-C
Contact information
Practice address
265 IRVING AVE, BRIDGETON, NJ 08302-2121
(856) 451-4700
(856) 453-8495
Mailing address
765 E ROUTE 70, BLD A, MARLTON, NJ 08053-2341
(856) 797-4751
(856) 797-4791
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26NN097238
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NN097238
NJ
Other
Enumeration date
08/07/2006
Last updated
08/11/2023
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