Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 5101017113 | MI |
Y | 2080P0214X | Pediatric Pulmonologist | DR.0061432 | CO |
NPI | 1043315211 |
---|---|
Provider Name | Dr. Antoinette Theodora Burns |
First Address | Aurora, CO 80042-0429 |
Second Address | Peterson Afb, CO 80914-1541 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2006 |
Last Update Date | 01/09/2020 |