Individual
MRS. AMANDA VERKRUISSEN BURNETT
Active
Individual
MRS. AMANDA VERKRUISSEN BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP0071
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2102605
—
LA
01
—
AP0071
STATE MEDICAL LICENSE
LA
Enumeration date
03/10/2010
Last updated
04/27/2022
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