Individual
MRS. TARA BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2821 BROOKSIDE CT, AUGUSTA, KS 67010-2433
(316) 425-0073
Mailing address
1345 LAWNDALE AVE, EL DORADO, KS 67042-4311
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
101180
KS
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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