Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | APN000609 | NV |
NPI | 1124138516 |
---|---|
Provider Name | William D Burrows |
First Address | Henderson, NV 89052-4300 |
Second Address | Las Vegas, NV 89109-2305 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 08/07/2007 |