Individual
MS. GLORIA L. BURDETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., PMHCNS-BC
Contact information
Practice address
37 FRIEND ST., ELDER SERVICE PLAN OF THE NORTH SHORE, LYNN, MA 01902
(781) 715-6608
(781) 715-6699
Mailing address
37 FRIEND ST., ELDER SERVICE PLAN OF THE NORTH SHORE, LYNN, MA 01902
(781) 715-6608
(781) 715-6699
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
052943-23
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
052943-23-08
NH
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN100851
MA
Other
Enumeration date
02/05/2007
Last updated
11/15/2012
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