Individual
MS. CASSANDRA BROOKE BURCHETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
108 SENIOR CENTER DRIVE, KINGWOOD, WV 26537-2653
(304) 329-0464
(304) 329-2584
Mailing address
PO BOX 10, KINGWOOD, WV 26537-0010
(304) 329-0464
(304) 329-2584
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1155403
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1155403
KENTUCKY BOARD OF NURSING
KY
Enumeration date
12/08/2020
Last updated
12/08/2020
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