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Individual

MR. VERNON THOMAS BURCHFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
Mailing address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-079966
AL
363LF0000X
Family Nurse Practitioner
RN343732
OH
363LP2300X
Primary Care Nurse Practitioner
Primary
2018007737
MO
363LP2300X
Primary Care Nurse Practitioner
NP-10573
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
515-31805
BLUE CROSS
AL
Enumeration date
07/24/2006
Last updated
03/07/2018
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