Individual
MRS. MIRANDA MOLLIE BURR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1710 NATIONAL AVE, MADISON, WI 53716-1959
(715) 340-9514
Mailing address
1710 NATIONAL AVE, MADISON, WI 53716-1959
(715) 340-9514
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
191094-30
WI
163WC1500X
Community Health Registered Nurse
191094-30
WI
Other
Enumeration date
02/18/2013
Last updated
06/13/2025
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