Individual
MUNA BURLAKOTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN-FNP
Contact information
Practice address
5730 PACKARD AVE STE 500, MARYSVILLE, CA 95901-7119
(916) 673-8841
Mailing address
1442 TAUPIN CT, FOLSOM, CA 95630-8452
(916) 673-8841
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95017878
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95017878
CA
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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