Individual
MS. EDA M BURHENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1781 W 26TH ST, ERIE, PA 16508-1256
(814) 454-5896
(814) 456-0037
Mailing address
1781 W 26TH ST, ERIE, PA 16508-1256
(814) 454-5896
(814) 456-0037
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TP005589B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BU1784450
HIGHMARK
PA
Enumeration date
08/08/2006
Last updated
07/09/2007
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