Individual
TONYA MARIE BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2040 N SHADELAND AVE STE 250, INDIANAPOLIS, IN 46219-1712
(317) 355-5009
Mailing address
10711 LONG BRANCH DR, BROWNSBURG, IN 46112-7350
(812) 322-6924
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
71012675A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71012675A
IN
Other
Enumeration date
07/14/2022
Last updated
07/26/2022
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