Individual
CHUTIMA S BURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AANP
Contact information
Practice address
15 S MAIN ST, JAMESTOWN, NY 14701-6626
(716) 664-7725
Mailing address
5474 ROUTE 474, ASHVILLE, NY 14710-9555
(818) 915-3388
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F311694-01
NY
Other
Enumeration date
02/27/2024
Last updated
08/21/2024
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