Individual
KRISTEN M BUROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1330 MERCY DR NW STE 319, CANTON, OH 44708
(330) 253-1411
(330) 253-1720
Mailing address
1330 MERCY DR NW STE 319, CANTON, OH 44708-2624
(330) 471-5936
(234) 203-3561
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.385347
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.023450
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0307426
—
OH
Enumeration date
07/24/2018
Last updated
02/09/2024
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