Individual
KRISTINE CORENE BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6505 216TH ST SW STE 100, MOUNTLAKE TERRACE, WA 98043-2089
(425) 640-7009
Mailing address
147 AL ROBERTS RD, SENOIA, GA 30276-3556
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
041309380
IL
363L00000X
Nurse Practitioner
209012592
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60696757
WA
Other
Enumeration date
06/11/2013
Last updated
05/03/2023
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