Individual
MRS. ANN ELAINE BURCHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5400 GIBSON BLVD SE, ALBUQUERQUE, NM 87108-4729
(505) 262-7047
Mailing address
11621 SAN ANTONIO DR NE, ALBUQUERQUE, NM 87122-2437
(505) 856-1031
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
Primary
R19033
NM
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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