Individual
AUDREY J. BURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
4800 PLEASANT HILL DR, SUITE 203, ROANOKE, VA 24018-3451
(540) 772-4930
(540) 772-0429
Mailing address
5585 MOUNT LAUREL RD, ROANOKE, VA 24018-7807
(540) 772-4907
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
709293
RD NUMBER
—
Enumeration date
08/30/2006
Last updated
07/08/2007
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