Nicole Burnham, LPN

NPI #1013548536 in Pryor, Oklahoma

Provider Information

NPI Number
1013548536
Entity Type
Individual
Name
Nicole Burnham, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Feb 3, 2020
Last Updated
Feb 3, 2020

Practice Location

Address
109 N FAIRLAND ST
City
Pryor
ZIP Code
74361-4203
Phone
(918) 825-1405

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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