Individual
MADELINE WILSON BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
401 6TH AVE, MONTGOMERY, WV 25136-2199
(304) 442-5151
(304) 442-7494
Mailing address
286 ZANDALE DR, LEXINGTON, KY 40503-2660
(502) 558-6669
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
106709
WV
363LP0200X
Pediatric Nurse Practitioner
3012466
KY
Other
Enumeration date
07/10/2018
Last updated
03/04/2022
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