Doctor Name: | KRISTI MARGARET BURDICK |
NPI Number: | 1861546186 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | R176502-7 |
Business Practice Address: | 205 Osceola St Laurium, MI - 499132134 |
Business Phone Number: | 9063376580 |
Business Fax Number: | |
Mailing Address: | 205 Osceola St, LAURIUM |
State: | MI |
Postal Code: | 499132134 |
Phone Number: | 9063376580 |
Fax Number: | |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R176502-7 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |