Individual
MRS. JAN BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
25 ALLEN ST, MARTINEZ, CA 94553
(925) 951-3678
Mailing address
25 ALLEN ST, MARTINEZ, CA 94553
(310) 221-6350
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95079711
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95023725
CA
Other
Enumeration date
12/27/2011
Last updated
11/17/2023
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