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Individual

FRANCIS BURRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(111) 111-1111
Mailing address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
724144
NY
363LF0000X
Family Nurse Practitioner
Primary
F349161
NY

Other

Enumeration date
11/23/2016
Last updated
05/02/2022
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