Individual
LEAH ANN BURPEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 425-4000
Mailing address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 425-4000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN.0993427
CO
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11004135
FL
363LA2200X
Adult Health Nurse Practitioner
5005850
NC
363LA2200X
Adult Health Nurse Practitioner
APN.0993427-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106831100
—
FL
05
—
7006435
—
NC
Enumeration date
10/12/2012
Last updated
07/28/2020
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