Individual
DARA E BURSTEIN
Active
Individual
DARA E BURSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R168613
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
92501601
BLUE SHIELD
MD
01
—
C4280004
BLUE SHIELD
DC
Enumeration date
10/22/2007
Last updated
12/01/2008
Update your record
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