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Individual

MRS. DIANE H BURNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
210 E GRAY ST, STE 601, LOUISVILLE, KY 40202-3902
(502) 588-3600
(502) 588-9536
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-3600
(502) 588-9536

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3000686
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200855480
IN
05
78003548
KY
Enumeration date
12/20/2005
Last updated
10/13/2020
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