Organization
BLUSH MEDICAL AESTHETICS & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY ANN BURTON FNP (OWNER/OPERATOR)
(662) 515-0016
Entity
Organization
Contact information
Practice address
940 CHURCH RD W STE B, SOUTHAVEN, MS 38671-9611
(662) 515-0016
Mailing address
940 CHURCH RD W STE B, SOUTHAVEN, MS 38671-9611
(662) 515-0016
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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