Individual
ADELE CECILIA BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
4228 RIDGE RD, LOCKPORT, NY 14094-9778
(716) 525-4439
Mailing address
4228 RIDGE RD, LOCKPORT, NY 14094-9778
(716) 525-4439
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309481
NY
Other
Enumeration date
11/14/2019
Last updated
07/23/2022
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