Individual
PATRICIA BURHANNA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ANP, RN
Contact information
Practice address
2516 MASCOUTAH AVE, BELLEVILLE, IL 62220-3468
(618) 233-4200
Mailing address
2516 MASCOUTAH AVE, BELLEVILLE, IL 62220-3468
(618) 233-4200
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
IL
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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