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Individual

STEPHANIE D BURDINE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
4010 DUPONT CIR, SUITE 312, LOUISVILLE, KY 40207-4812
(812) 282-1888
(812) 285-8392
Mailing address
510 SPRING ST, JEFFERSONVILLE, IN 47130-3554
(812) 282-1888
(812) 285-8392

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3010P
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71002108A
IN

Other

Enumeration date
03/20/2006
Last updated
07/08/2007
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