Individual
TANYA D BURK-WILLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14600 W 81ST ST., BIBICH ELEMENTARY, DYER, IN 46311
(219) 322-1185
Mailing address
8260 WICKER AVE., LAKE CENTRAL SCHOOL CORPORATION, SAINT JOHN, IN 46373
(219) 365-8507
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28204517A
IN
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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