Individual provider · Type 1 NPI
Thomas Burcham
Psychiatric/Mental Health Nurse Practitioner · Dayton, OH
NPI number
1265021539
Active
Practice location
2611 Wayne Ave
Dayton, OH 45420-1833
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN.CNP.0037969 (OH) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1265021539
Thomas Burcham's National Provider Identifier is 1265021539, issued on Jan 12, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Dayton, OH. The record was last updated on Jan 23, 2025.