Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | K129275 | IA |
N | 363LP0200X | Nurse Practitioner - Pediatrics | K129275 | IA |
NPI | 1013429034 |
---|---|
Provider Name | Erin Burns |
First Address | Ely, IA 52227-9809 |
Second Address | Cedar Rapids, IA 52403-1251 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2017 |
Last Update Date | 23/09/2019 |