Individual
MS. ELLEN DIANE BURKHALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CRNP
Contact information
Practice address
3601 A ST, PHILADELPHIA, PA 19134-1043
(215) 427-4820
(215) 427-4822
Mailing address
3601 A ST, PHILADELPHIA, PA 19134-1043
(215) 427-4820
(215) 427-4822
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP00970
PA
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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