Individual
BOBBIE JO BURDETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 CORBIN HEIGHTS CIR, GIVEN, WV 25245-8072
(304) 532-4463
Mailing address
202 CORBIN HEIGHTS CIR, GIVEN, WV 25245-8072
(304) 532-4463
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN44075NP
WV
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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