Individual
MR. BRENT BURHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 EDWARDS CT, YORKTOWN, VA 23693-2851
(702) 738-3138
Mailing address
112 EDWARDS CT, YORKTOWN, VA 23693-2851
(702) 738-3138
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001307263
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024179492
VA
Other
Enumeration date
12/06/2017
Last updated
09/18/2023
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