Individual
MISS CHARLA BURCHETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6902B GRAHN RD, OLIVE HILL, KY 41164-8147
(606) 286-0440
(855) 825-9752
Mailing address
6902B GRAHN RD, OLIVE HILL, KY 41164-8147
(606) 286-0440
(855) 825-9752
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3010728
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225695851
TYPE 2 NPI
—
Enumeration date
11/22/2016
Last updated
02/17/2023
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