Individual
MS. ANNA L BURDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, CNM
Contact information
Practice address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 231-2216
(864) 332-5335
Mailing address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 231-2216
(864) 332-5335
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN 2825
SC
367A00000X
Advanced Practice Midwife
APN 2825
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5402825
LICENSE
SC
Enumeration date
07/13/2006
Last updated
02/06/2014
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