Burdin, Charrae G

Burdin, Charrae G is an individual health care provider with primary practice located at 1 Medical Dr , Paragould AR 72450-4017. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Burdin, Charrae G can be contacted via phone (870) 236-2000.

Contact Information

Primary practice address
1 Medical Dr Paragould AR 72450-4017
Phone: (870) 236-2000
Fax: (870) 236-5861
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A03279 APN Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X A003279 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A003279 Arkansas

Profile Details

NPI number 1477888105
LBN Legal business name Burdin, Charrae G
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2009
Last updated Dec 8th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477888105 NPPES
Arkansas MEDICAID 181104758

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