Individual
AMANDA BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 BUTTONWOOD LN, BLACKWOOD, NJ 08012-4600
(856) 534-6437
Mailing address
370 THURMAN AVENUE, WEST BERLIN, NJ 08091-2400
(856) 534-6437
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR16949800
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00645800
NJ
Other
Enumeration date
05/08/2016
Last updated
09/12/2017
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