Individual
CRYSTAL BURDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
901 WALLACE AVE, LEITCHFIELD, KY 42754-1417
(270) 259-5641
(270) 259-5309
Mailing address
901 WALLACE AVE, LEITCHFIELD, KY 42754-1417
(270) 259-5641
(270) 259-5309
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3016764
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3016764
KY BOARD OF NURSING
KY
Enumeration date
10/01/2021
Last updated
10/13/2021
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