Burtt, Juanita Renee

Burtt, Juanita Renee is an sole proprietor health care provider with primary practice located at 200 Medical Dr , Hampton VA 23666-1763. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Burtt, Juanita Renee can be contacted via phone (757) 374-0869.

Contact Information

Primary practice address
200 Medical Dr Hampton VA 23666-1763
Phone: (757) 374-0869
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024283000 Virginia

Profile Details

NPI number 1720744857
LBN Legal business name Burtt, Juanita Renee
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2021
Last updated Jan 4th, 2022 - 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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