Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 21563-4405 | UT |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 215653-4405 | UT |
NPI | 1316087273 |
---|---|
Provider Name | Mrs. Deborah Jeanne Burns |
First Address | Salt Lake City, UT 84117-5864 |
Second Address | Ogden, UT 84405-6923 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2007 |
Last Update Date | 20/10/2016 |