Individual
MRS. BETTY B BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1602 CHURCH ST SE, DECATUR, AL 35601-3402
(256) 350-1458
(256) 350-1485
Mailing address
1602 CHURCH ST SE, PO BOX 2091, DECATUR, AL 35601-3402
(256) 350-1458
(256) 350-1485
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-037625
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136527
—
AL
01
—
511-19871
BCBS
AL
Enumeration date
07/09/2008
Last updated
08/04/2014
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