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Individual

ANNALISA BALL BURCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, CNM, WHNP IBCLC

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
7976366-3102
UT
363LW0102X
Women's Health Nurse Practitioner
Primary
7976366-4405
UT
367A00000X
Advanced Practice Midwife
14291213-4402
UT

Other

Enumeration date
09/20/2017
Last updated
07/03/2026
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