Doctor Name: | RICHARD WILLIAM BURNETTE |
NPI Number: | 1003055062 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 334344 |
Business Practice Address: | 946 Mesa Verde Dr Barberton, OH - 442038674 |
Business Phone Number: | 3307450862 |
Business Fax Number: | |
Mailing Address: | 946 Mesa Verde Dr, BARBERTON |
State: | OH |
Postal Code: | 442038674 |
Phone Number: | 3307450862 |
Fax Number: | |
NPI Enumeration Date: | 02/16/2009 |
NPI Last Update Date: | 09/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 334344 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |