Individual
AMY BURDITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6629 W CENTRAL AVE, TOLEDO, OH 43617-1098
(419) 517-1070
Mailing address
PO BOX 8970, TOLEDO, OH 43623-0970
(419) 475-4449
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN304914
OH
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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