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Individual

ERIKA DENISE BURNSIDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1351 NEWTOWN PIKE BLDG 1, LEXINGTON, KY 40511-1317
(859) 253-1686
Mailing address
1351 NEWTOWN PIKE BLDG 1, LEXINGTON, KY 40511-1317
(859) 253-1686

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3015576
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1790731081
KY
05
7100724440
KY
Enumeration date
02/04/2021
Last updated
03/08/2022
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