Individual
RITA A BURKHOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 330-3689
(812) 331-3656
Mailing address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 330-3689
(812) 331-3656
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71003020A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200953470
—
IN
Enumeration date
08/27/2009
Last updated
12/03/2020
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