MEDICARE: EMILY BURTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	APRN.CNP.024677	OH

General Provider Information

NPI Number	:	1083089221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY BURTON

Provider Business Mailing Address
First Line	:	935 STATE ROUTE 28
Second Line	:
City	:	MILFORD
State	:	OH
Zip	:	45150-1957
Country	:	US
Telephone Number	:	513-831-5955
Fax Number	:	513-831-5985

Provider Business Practice Location Address
First Line	:	9232 READING RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45215-3416
Country	:	US
Telephone Number	:	513-245-8911
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2015
Last Update Date	:	09/24/2019

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Directions to “ EMILY BURTON ” Practice Location

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