Individual
MRS. MAGGIE MCNEAL BURTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MS
Contact information
Practice address
1104 BUCHANAN RD STE C10, ANTIOCH, CA 94509-4226
(415) 476-1000
Mailing address
1307 MAGNOLIA ST, OAKLAND, CA 94607-2224
(614) 746-2905
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95173896
CA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
95015809
CA
Other
Enumeration date
09/24/2020
Last updated
11/09/2020
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