Individual
LAURA BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807-5155
(417) 875-3000
Mailing address
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807-5155
(417) 875-3000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2006023808
MO
363LF0000X
Family Nurse Practitioner
Primary
2010042114
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669750261
—
MO
05
—
427085907
—
MO
Enumeration date
07/30/2011
Last updated
12/27/2018
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