Individual
MRS. CARRIE BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7920 KIRKLAND CT, PORTAGE, MI 49024-4974
(269) 381-7246
(269) 345-5354
Mailing address
7920 KIRKLAND CT, PORTAGE, MI 49024-4974
(269) 381-7246
(269) 345-5354
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
Primary
4704248154
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704248154
MI STATE LICENSE
MI
Enumeration date
08/15/2008
Last updated
08/15/2008
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