Individual
MS. RUBY P. BURDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP-C
Contact information
Practice address
1400 NARROW LN P, BMA OF MONTGOMERY BAPTIST CKD SERVICES, MONTGOMERY, AL 36111-2654
(334) 286-4011
(334) 286-4108
Mailing address
710 PITTMAN DR, UNION SPRINGS, AL 36089-1201
(334) 286-4011
(334) 286-4108
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-051911
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-40398
BCBS OF ALABAMA
AL
Enumeration date
05/23/2006
Last updated
11/27/2007
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