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BEAU MICHAEL BURTON FNP-C

Individual Provider (NPI-1) Active

Nurse Practitioner, Family

Provider Information

NPI Number
1992117436
Provider Type
Individual Provider (NPI-1)
Credentials
FNP-C
Status
Active

Contact & Location

Address
401 E VAUGHN AVE, RUSTON, LA, 712705950
Phone
(318) 254-2100

Specialties & Taxonomies

Registered Nurse, Emergency License: LA #RN132815
Nurse Practitioner License: LA #AP07805
Nurse Practitioner, Family Primary License: LA #AP07805

All Addresses

MAILING

4075 COPPER RIDGE DR

TRAVERSE CITY, MI, 496847059

LOCATION

401 E VAUGHN AVE

RUSTON, LA, 712705950

(318) 254-2100