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Individual

CHARLIE ANN BURT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
1111 MEDICAL PLAZA DR STE 250, THE WOODLANDS, TX 77380-3477
(281) 296-8788
(281) 419-1291
Mailing address
34793 RICHARD FREY RD, WALLER, TX 77484-5237
(281) 536-0918

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP140793
TX
363LC0200X
Critical Care Medicine Nurse Practitioner
AP140793
TX

Other

Enumeration date
02/27/2019
Last updated
02/27/2019
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