Individual
MERYL LEE BURCHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, ACNP
Contact information
Practice address
7125 NEW SANGER AVE STE A, WACO, TX 76712-4054
(254) 399-5400
(254) 772-8669
Mailing address
PO BOX 21327, WACO, TX 76702-1327
(254) 399-5400
(254) 772-8669
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
113520
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972527257
—
TX
01
—
253058
LICENSE NUMBER
TX
Enumeration date
07/27/2006
Last updated
12/13/2023
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