Individual
BEAU MICHAEL BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
401 E VAUGHN AVE, RUSTON, LA 71270-5950
(318) 254-2100
Mailing address
4075 COPPER RIDGE DR, TRAVERSE CITY, MI 49684-7059
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN132815
LA
363L00000X
Nurse Practitioner
AP07805
LA
363LF0000X
Family Nurse Practitioner
Primary
AP07805
LA
Other
Enumeration date
06/02/2014
Last updated
07/07/2021
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