Individual
LINDA C BURDETT
Active
Individual
LINDA C BURDETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2002009459
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639154677
—
MO
05
—
425812104
—
MO
01
—
P00269596
RR MEDICARE
—
Enumeration date
12/13/2005
Last updated
06/13/2025
Update your record
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