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Individual

SYDNEY JO BURCHFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, NP-C

Contact information

Practice address
100 MEDICAL CENTER DR, SLIDELL, LA 70461-5520
(985) 646-5189
Mailing address
302 JACOBS ST, BERWICK, LA 70342-2012

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08057
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02983056
MS
05
2381261
LA
Enumeration date
10/15/2014
Last updated
01/04/2016
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