Individual
MRS. AMY SUE BURRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2705
(906) 225-7432
Mailing address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2705
(906) 225-7432
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704217094
MI
363LF0000X
Family Nurse Practitioner
Primary
4704217094
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5008705110
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/27/2006
Last updated
02/08/2021
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