Individual
DIANE LEE BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8201 ATLEE RD STE A, MECHANICSVILLE, VA 23116-1815
(804) 522-1814
(804) 522-1823
Mailing address
8201 ATLEE RD STE A, MECHANICSVILLE, VA 23116-1815
(804) 522-1814
(804) 522-1823
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024171049
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L524
MEDICARE GROUP PTAN
VA
Enumeration date
07/26/2013
Last updated
05/27/2021
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