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NPI Code Detail

MEDICARE: MARJORIE PALMER BURTON CPNP

MEDICARE: MARJORIE PALMER BURTON CPNP
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
1363LP0200XPediatric Nurse Practitioner163841MA

General Provider Information

NPI Number : 1548242464
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARJORIE PALMER BURTON CPNP
Provider Business Mailing Address
First Line : 477 ANDOVER ST
Second Line :
City : NORTH ANDOVER
State : MA
Zip : 01845-5036
Country : US
Telephone Number : 978-975-3355
Fax Number :
Provider Business Practice Location Address
First Line : 477 ANDOVER ST
Second Line :
City : NORTH ANDOVER
State : MA
Zip : 01845-5036
Country : US
Telephone Number : 978-975-3355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2005
Last Update Date : 07/08/2007

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Directions to “ MARJORIE PALMER BURTON CPNP” Practice Location

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