Individual provider · Type 1 NPI
Alexandrea Burnett
Family Nurse Practitioner · Michigan City, IN
NPI number
1124563614
Active
Practice location
8865 W 400 N Suite 155
Michigan City, IN 46360-3096
Fax (219) 872-2712
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 28150028A (IN) |
| Family Nurse Practitioner Primary | 363LF0000X | 71006835A (IN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1124563614
Alexandrea Burnett's National Provider Identifier is 1124563614, issued on Dec 20, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Michigan City, IN. The record was last updated on Dec 29, 2022.