Individual
MR. EDWARD CARL BURTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
100 DR WARREN TUTTLE DR, HARRISBURG, IL 62946
(618) 253-7671
(618) 253-0474
Mailing address
100 DR WARREN TUTTLE DR, HARRISBURG, IL 62946-2718
(618) 253-7671
(618) 253-0474
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209020260
IL
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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