Individual
COURTNEY BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1233 LOCUST ST, PHILADELPHIA, PA 19107-5453
(215) 790-1788
Mailing address
1233 LOCUST ST, PHILADELPHIA, PA 19107-5453
(215) 790-1788
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR20799000
NJ
163W00000X
Registered Nurse
RN673587
PA
363LF0000X
Family Nurse Practitioner
Primary
SP023306
PA
363LP2300X
Primary Care Nurse Practitioner
26NJ01174700
NJ
Other
Enumeration date
04/10/2020
Last updated
06/21/2024
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