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Individual

AMBER NOEL BURNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1323 W 6TH AVE, STILLWATER, OK 74074-4306
(405) 334-3413
Mailing address
2900 S TELEPHONE RD, MOORE, OK 73160-2968
(405) 237-7500

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
109108
OK
363LF0000X
Family Nurse Practitioner
Primary
109108
OK

Other

Enumeration date
06/10/2019
Last updated
07/22/2019
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