Individual
WENDY BURNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN:258456-COA1
Contact information
Practice address
1490 UNIVERSITY BLVD, HAMILTON, OH 45011-3305
(513) 881-7189
(513) 881-7188
Mailing address
1490 UNIVERSITY BLVD, HAMILTON, OH 45011-3305
(513) 881-7189
(513) 881-7188
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
COA.11798-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0099502
—
OH
05
—
0200928
—
OH
Enumeration date
02/03/2014
Last updated
09/30/2014
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