Individual
ALEXIS BURDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
6184 EAST EXTENSION AVENUE SE, GNADENHUTTEN, OH 44629
(330) 340-6929
Mailing address
10088 STATE ROUTE 800 SE, UHRICHSVILLE, OH 44683-7467
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7930758
—
OH
Enumeration date
04/07/2025
Last updated
04/07/2025
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