Individual
MRS. KARRIE KAY BURRISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP, PMHNP- BC
Contact information
Practice address
270 STERKEL BLVD, MANSFIELD, OH 44907-1508
(419) 774-6869
(419) 774-6882
Mailing address
1195 TOWNSHIP ROAD 1193, ASHLAND, OH 44805-9356
(419) 606-5576
(419) 774-6882
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
342727
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
COA.16105-NP
OH
Other
Enumeration date
05/18/2009
Last updated
07/10/2014
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