Individual
MARTIA BURDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 955-2146
Mailing address
833 CHESTNUT ST STE 701, PHILADELPHIA, PA 19107-4409
(215) 955-2146
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN665668
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
SP021693
PA
Other
Enumeration date
02/05/2020
Last updated
05/23/2020
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