Individual
MARY BURLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
1 BARNES JEW HOSP PLZ, SAINT LOUIS, MO 63110-1003
(314) 362-5000
(314) 362-1517
Mailing address
809 GINGER WOOD CT, BALLWIN, MO 63021-8439
(314) 210-9518
(314) 362-1517
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
2000162634
MO
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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