Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 152536 | MA |
NPI | 1003136417 |
---|---|
Provider Name | Miss Sheryl A. Burns |
First Address | Newburyport, MA 01950-3084 |
Second Address | Lynn, MA 01904-1424 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2010 |
Last Update Date | 08/06/2010 |