Individual
HOLLY BURKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
120 S 9TH ST, BELEN, NM 87002-3102
(505) 861-1013
Mailing address
120 S 9TH ST, BELEN, NM 87002-3102
(505) 861-1013
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53821
NM
Other
Enumeration date
08/30/2018
Last updated
06/06/2023
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