Individual provider · NPI-1

Tonya Marie Burnett, APRN

Nurse Practitioner, Psych/Mental Health · Indianapolis, IN

NPI number1306570379
StatusActive
Last updated in NPPESJul 26, 2022

Details

NPI
1306570379
Entity type
Individual (NPI-1)
Name
Tonya Marie Burnett
Credential
APRN
Sex
Female
Sole proprietor
No
Enumeration date
Jul 14, 2022
Certification date
Jul 26, 2022
Last updated
Jul 26, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental Health71012675AINYes
163WP0809X Registered Nurse, Psych/Mental Health, Adult71012675AIN

Practice location

2040 N Shadeland Ave Ste 250
Indianapolis, IN 46219-1712

Phone 317-355-5009

Mailing address

10711 Long Branch Dr
Brownsburg, IN 46112-7350

Phone 812-322-6924

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