Individual
ANDRIA BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1751 N ASPEN AVE, BROKEN ARROW, OK 74012-1197
(561) 420-4453
Mailing address
20291 E 33RD ST S, BROKEN ARROW, OK 74014-5157
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
215346
OK
Other
Enumeration date
09/22/2022
Last updated
08/26/2024
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