Individual
EMILY LAUREN BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, NNP-BC
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4941
(817) 702-3431
Mailing address
715 JASON CT, CENTRALIA, MO 65240-4071
(817) 266-4313
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
2016043292
MO
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
1046678
TX
Other
Enumeration date
07/02/2021
Last updated
08/02/2021
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