Individual
MRS. KRISTEN LEBEAU BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3620 COURT DR, BLDG K, ZANESVILLE, OH 43701-6456
(740) 454-1248
(740) 454-8183
Mailing address
PO BOX 1821, ZANESVILLE, OH 43702-1821
(740) 455-3304
(740) 455-3686
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
318939
OH
363L00000X
Nurse Practitioner
Primary
318939
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2136709
—
OH
Enumeration date
09/24/2007
Last updated
06/09/2011
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