Individual
BETH BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11141 PARKVIEW PLAZA DR, SUITE 305, FORT WAYNE, IN 46845-1713
(260) 266-8900
(260) 266-8935
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
(260) 266-6013
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71005235A
IN
Other
Enumeration date
09/15/2014
Last updated
10/20/2022
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