Individual
ANISA RANAY BURDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1600 N 2ND ST, CLINTON, MO 64735-1297
(660) 885-5511
Mailing address
1600 N 2ND ST, CLINTON, MO 64735-1297
(660) 885-5511
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018017690
MO
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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