Provider Demographics
NPI:1083052963
Name:BURTON, CHRISTINA ELIZABETH (APRN)
Entity Type:Individual
Prefix:MISS
First Name:CHRISTINA
Middle Name:ELIZABETH
Last Name:BURTON
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Gender:F
Credentials:APRN
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Mailing Address - Street 1:2180 E 4500 S
Mailing Address - Street 2:SUITE 105
Mailing Address - City:HOLLADAY
Mailing Address - State:UT
Mailing Address - Zip Code:84117
Mailing Address - Country:US
Mailing Address - Phone:385-202-6898
Mailing Address - Fax:801-938-9164
Practice Address - Street 1:1008 S 1100 E
Practice Address - Street 2:APT 6
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84105
Practice Address - Country:US
Practice Address - Phone:801-528-1370
Practice Address - Fax:801-528-1370
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-12
Last Update Date:2016-11-10
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Provider Licenses
StateLicense IDTaxonomies
UT65457504408363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health