Individual
MRS. KATIE MOORE BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
350G RACETRACK RD NW, FORT WALTON BEACH, FL 32547-1699
(850) 374-3125
(850) 226-5544
Mailing address
307 BOATNER RD STE 114, EGLIN AFB, FL 32542-1302
(850) 883-8180
(850) 279-3312
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9462666
FL
363L00000X
Nurse Practitioner
Primary
APRN11012193
FL
363LF0000X
Family Nurse Practitioner
APRN11012193
FL
Other
Enumeration date
02/10/2021
Last updated
03/13/2026
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