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Individual

MRS. EMILY BOATNER BURDIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, FNP-BC

Contact information

Practice address
1723 BROADWAY ST STE 210, CAPE GIRARDEAU, MO 63701-4556
(573) 331-7870
(573) 331-7899
Mailing address
1723 BROADWAY ST STE 210, CAPE GIRARDEAU, MO 63701-4556
(573) 331-7870
(573) 331-7899

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019029054
MO

Other

Enumeration date
08/12/2019
Last updated
08/12/2019
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