| Doctor Name: | ANGELA S. BURDEN |
| NPI Number: | 1033355342 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 5834P |
| Business Practice Address: | 1006 New Moody Ln La Grange, KY - 400319122 |
| Business Phone Number: | 5022220028 |
| Business Fax Number: | 5022220029 |
| Mailing Address: | 878 Cedar Run Rd, PENDLETON |
| State: | KY |
| Postal Code: | 400557742 |
| Phone Number: | 5027439779 |
| Fax Number: | 5027439779 |
| NPI Enumeration Date: | 12/17/2008 |
| NPI Last Update Date: | 09/10/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 5834P |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |