Individual
CHANDRA JEANNE BURNSIDE
Active
Individual
CHANDRA JEANNE BURNSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
0001260026
VA
163WX0003X
Inpatient Obstetric Registered Nurse
0001260026
VA
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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