Individual
ADELE BURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6800 NW 39TH EXPY, BETHANY, OK 73008-2513
(405) 440-9866
Mailing address
116 UTAH AVE, YUKON, OK 73099-2714
(405) 922-1099
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
112740
OK
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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