NPI 1013548536
Nicole Burnham, LPN
Practice location
- Address
- 109 N Fairland St, Pryor, OK 74361-4203
- Phone
- (918) 825-1405
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1013548536
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 3 Feb 2020
- Record last updated
- 3 Feb 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.